Miller, Pennie Denise

Miller, Pennie Denise is an sole proprietor health care provider with primary practice located at 2814 W 15Th St , Panama City FL 32401-1376. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Miller, Pennie Denise can be contacted via phone (850) 872-4840.

Contact Information

Primary practice address
2814 W 15Th St Panama City FL 32401-1376
Fax: (850) 872-4468
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X RN9180068 Florida

Profile Details

NPI number 1275541047
LBN Legal business name Miller, Pennie Denise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Mar 12th, 2009 - about 15 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 1275541047 NPPES
Florida MEDICAID 312043100

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