Emma Ence Miller, RN

Individual provider Active NPI Registered Nurse · Mapleton, UT

NPI 1215746458 · NPPES record last updated Jan 2, 2025

Key facts

NPI
1215746458
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
12082958-3102 (UT)
Practice address
1262 N 1150 E
Mapleton, UT 84664-3856
Phone
(435) 203-6655
NPI assigned
Jan 2, 2025
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

LicenseStateTypeSpecialty
12082958-3102UTMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 12082958-3102 UT Yes

Addresses

Primary practice location

1262 N 1150 E
Mapleton, UT 84664-3856

Mailing address

1262 N 1150 E
Mapleton, UT 84664-3856
Phone (435) 203-6655

Other providers in Mapleton, UT

All providers in Mapleton, UT · Registered Nurse in Utah

Sources for this page

Verify at the official NPI Registry.