Miller, Judi R

Miller, Judi R is an individual health care provider with primary practice located at 33240 N 45Th Pl , Cave Creek AZ 85331-5073. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Related Providers / Chore Provider. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Miller, Judi R can be contacted via phone (516) 509-6320.

Contact Information

Primary practice address
33240 N 45Th Pl Cave Creek AZ 85331-5073
Phone: (516) 509-6320
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP5099 Arizona
Nursing Service Related Providers / Chore Provider 372500000X 259900 New York

Profile Details

NPI number 1629374509
LBN Legal business name Miller, Judi R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2011
Last updated Mar 17th, 2018 - about 7 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 1629374509 NPPES
Arizona MEDICAID 250545

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