Miller, Laurie Alice
Miller, Laurie Alice is an sole proprietor health care provider with primary practice located at 871 Ridgeway Loop Rd Ste 108 , Memphis TN 38120-4026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Miller, Laurie Alice can be contacted via phone (901) 871-0170.Contact Information
Primary practice address
871 Ridgeway Loop Rd Ste 108
Memphis TN 38120-4026
Phone: (901) 871-0170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 13031 | Tennessee |
Profile Details
| NPI number | 1063693893 |
|---|---|
| LBN Legal business name | Miller, Laurie Alice |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2007 |
| Last updated | Dec 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063693893 | NPPES |
| Tennessee | Other | 4171432 | BCBS |
| Tennessee | MEDICAID | 3341485 | BCBS |
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