Miller, Carol M

Miller, Carol M is an individual health care provider with primary practice located at 3119 N 14Th St , Bismarck ND 58503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miller, Carol M can be contacted via phone (701) 222-3937.

Contact Information

Primary practice address
3119 N 14Th St Bismarck ND 58503
Fax: (701) 222-8805
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R22755 North Dakota

Profile Details

NPI number 1629121595
LBN Legal business name Miller, Carol M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Dec 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629121595 NPPES
North Dakota MEDICAID 1452852

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