Miller, Mary Kathleen

Miller, Mary Kathleen is an sole proprietor health care provider with primary practice located at 3511 5Th Ave N , Saint Petersburg FL 33713-7501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Miller, Mary Kathleen can be contacted via phone (727) 895-2300.

Contact Information

Primary practice address
3511 5Th Ave N Saint Petersburg FL 33713-7501
Phone: (727) 895-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP3211042 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP3211042 Florida

Profile Details

NPI number 1114059169
LBN Legal business name Miller, Mary Kathleen
Credentials DNP, CNM, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jun 15th, 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 1114059169 NPPES
Florida MEDICAID 3401731

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