Krista Marie Miller, RN
Individual provider Active NPI Registered Nurse · Port Allen, LA
NPI 1154983997 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1154983997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 204834 (LA)
- Practice address
- 203 Allendale Dr
Port Allen, LA 70767-3219 - Phone
- (225) 389-1311
- Fax
- (225) 683-1310
- NPI assigned
- Jul 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 204834 | LA | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 204834 | LA | Yes |
Addresses
Primary practice location
203 Allendale Dr
Port Allen, LA 70767-3219
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204834 | Other | LA | STATE LICENSE |
Other providers in Port Allen, LA
- Louis L Mason
- Amy McClinton-Smith
- Medical Care Transportation Group LLC
- Kalina Mercier
- Deirdra Miles
- Mindful Health Counseling
- Allison Naquin
- Caitlin Ellis Narretta
- Katina Nelson
- New Life Behavioral Health LLC
All providers in Port Allen, LA · Registered Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. 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.