Miller, Cory Nathanael

Miller, Cory Nathanael is an individual health care provider with primary practice located at 1055 N 500 W Suite 212, Provo UT 84604-3305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Miller, Cory Nathanael can be contacted via phone (801) 374-2362.

Contact Information

Primary practice address
1055 N 500 W Suite 212 Provo UT 84604-3305
Phone: (801) 374-2362
Fax: (801) 429-8196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3131911206 Utah

Profile Details

NPI number 1346298510
LBN Legal business name Miller, Cory Nathanael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 27th, 2023 - about 2 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 1346298510 NPPES
Utah Other P53977 UPIN

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