Miller, Sandra L
Miller, Sandra L is an individual health care provider with primary practice located at 636 Saint Anne St , Rapid City SD 57701-4694. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Miller, Sandra L can be contacted via phone (605) 348-8000.Contact Information
Primary practice address
636 Saint Anne St
Rapid City SD 57701-4694
Phone: (605) 348-8000
Fax: (605) 348-4315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0148350250 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | R0148350250 | South Dakota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CP000250 | South Dakota |
Profile Details
NPI number | 1952344699 |
---|---|
LBN Legal business name | Miller, Sandra L |
Credentials | Certified Nurse Practitioner (CNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2006 |
Last updated | Dec 5th, 2018 - about 6 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 | 1952344699 | NPPES |
South Dakota | MEDICAID | 6826173 |
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