Miller, Debra Lynn

Miller, Debra Lynn is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 108 , Mishawaka IN 46545-1464. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Registered Nurse First Assistant. Nursing Service Providers / Registered Nurse First Assistant is her primary health care specialty. Miller, Debra Lynn can be contacted via phone (574) 968-9100.

Contact Information

Primary practice address
611 E Douglas Rd Ste 108 Mishawaka IN 46545-1464
Phone: (574) 968-9100
Fax: (574) 243-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28145260A Indiana
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 28145260A Indiana

Profile Details

NPI number 1922687482
LBN Legal business name Miller, Debra Lynn
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2021
Last updated May 14th, 2021 - about 3 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 1922687482 NPPES
Indiana Other 28145260A INDIANA MEDICAL LICENSE

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