Miller, Courtney A

Miller, Courtney A is an individual health care provider with primary practice located at 1101 Sam Perry Blvd Suite 401, Fredericksburg VA 22401-4467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Miller, Courtney A can be contacted via phone (540) 940-2000.

Contact Information

Primary practice address
1101 Sam Perry Blvd Suite 401 Fredericksburg VA 22401-4467
Phone: (540) 940-2000
Fax: (540) 940-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 209007822 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 0024170740 Virginia

Profile Details

NPI number 1912197112
LBN Legal business name Miller, Courtney A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Apr 30th, 2014 - about 10 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 1912197112 NPPES
Illinois Other 209007822 IL LICENSE

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