Gretchen Elaine Miller, RN
Individual provider Active NPI Registered Nurse · Soddy Daisy, TN
NPI 1104128685 · NPPES record last updated Dec 3, 2010
Key facts
- NPI
- 1104128685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN0000158308 (TN)
- Practice address
- 9527 W Ridge Trail Rd
Soddy Daisy, TN 37379-4018 - Phone
- (423) 842-3031
- NPI assigned
- Dec 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000158308 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000158308 | TN | Yes |
Addresses
Primary practice location
9527 W Ridge Trail Rd
Soddy Daisy, TN 37379-4018
Mailing address
9527 W Ridge Trail Rd
Soddy Daisy, TN 37379-4018
Phone (423) 842-3031
Other providers in Soddy Daisy, TN
- Juan Efren Martinez
- Joyce Mathai
- Mary Matter
- Virginia McClary
- Yuri Sawa McClendon
- Kelly D Miller
- Stephanie Miller
- Brent S Morris
- Deborah Mullins
- Nina Newkirk-Pulliam
All providers in Soddy Daisy, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.