Miller-Smith, Amy M
Miller-Smith, Amy M is an individual health care provider with primary practice located at 1115 Ronald Reagan Pkwy Ste 141 , Avon IN 46123-6913. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Miller-Smith, Amy M can be contacted via phone (317) 962-0280.Contact Information
Primary practice address
1115 Ronald Reagan Pkwy Ste 141
Avon IN 46123-6913
Phone: (317) 962-0280
Fax: (317) 962-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71006024A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71006024B | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 28100292A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71006024A | Indiana |
Profile Details
| NPI number | 1225409402 |
|---|---|
| LBN Legal business name | Miller-Smith, Amy M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2015 |
| Last updated | Sep 8th, 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 | 1225409402 | NPPES |
| Indiana | MEDICAID | 201341830 |
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