Debra Joan Miller, FAMILY NURSE PRACTIT

Individual provider Active NPI Family Nurse Practitioner · Deer Lodge, MT

NPI 1477596161 · NPPES record last updated Apr 21, 2017

Key facts

NPI
1477596161
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
100118 (MT)
Practice address
310 Main St
Deer Lodge, MT 59722-1000
Phone
(406) 846-4275
Fax
(406) 846-4278
NPI assigned
Jun 13, 2006
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)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
100118MTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 100118 MT Yes

Addresses

Primary practice location

310 Main St
Deer Lodge, MT 59722-1000

Mailing address

310 Main St
Deer Lodge, MT 59722-1000
Phone (406) 846-4275

Other providers in Deer Lodge, MT

All providers in Deer Lodge, MT · Family Nurse Practitioner in Montana

Sources for this page

Verify at the official NPI Registry.