Miller, Elaine Marie

Miller, Elaine Marie is an individual health care provider with primary practice located at 1230 E Main St , Mankato MN 56001-5066. 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, Elaine Marie can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato MN 56001-5066
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 073230-7 Minnesota

Profile Details

NPI number 1295811792
LBN Legal business name Miller, Elaine Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 15th, 2010 - about 14 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 1295811792 NPPES
Minnesota MEDICAID 562312000

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