Miller, Madelyn

Miller, Madelyn is an individual health care provider with primary practice located at 2105 Cleary Ave , Metairie LA 70001-1623. 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, Madelyn can be contacted via phone (419) 841-1832.

Contact Information

Primary practice address
2105 Cleary Ave Metairie LA 70001-1623
Phone: (419) 841-1832
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03086 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 15101-NP Ohio

Profile Details

NPI number 1942252093
LBN Legal business name Miller, Madelyn
Credentials APN BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 9th, 2019 - about 5 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 1942252093 NPPES
Michigan MEDICAID 11-4946473
Michigan MEDICAID 4863521
Michigan MEDICAID 11-4946464
Michigan MEDICAID 11-4946482
Michigan MEDICAID 4863503
Michigan MEDICAID 4863497
Michigan MEDICAID 11-4946455
Michigan Other 382962430001
Michigan MEDICAID 4863512
Michigan MEDICAID 4863530

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