Betty S Miller, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ilwaco, WA
NPI 1891719951 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891719951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- AP30004492 (WA)
- Practice address
- 2142 Wecoma PL
Ilwaco, WA 98624-0430 - Phone
- (360) 642-4821
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004492 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Hospital Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP30004492 | WA | Yes |
Addresses
Primary practice location
2142 Wecoma PL
Ilwaco, WA 98624-0430
Mailing address
PO Box 430
Ilwaco, WA 98624-0430
Phone (360) 642-4821
Other providers in Ilwaco, WA
- Richelle Ruth Lincoln
- Daleen Angeline Lyle
- Jeffrey E Maple
- Lea Marlow
- Danielle Meyen
- Penny Irene Neal
- Ocean Beach Chiropractic
- Ocean Beach Chiropractic PS
- Ocean Beach Physical Therapy Inc
- Ocean Beach School District
All providers in Ilwaco, WA · Certified Registered Nurse Anesthetist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.