Cordelia Miller
Individual provider Active NPI Registered Nurse · Munising, MI
NPI 1962018499 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1962018499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704265470 (MI)
- Practice address
- 601 W Superior St
Munising, MI 49862-1328 - Phone
- (906) 387-3611
- NPI assigned
- Sep 21, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704265470 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704265470 | MI | Yes |
Addresses
Primary practice location
601 W Superior St
Munising, MI 49862-1328
Mailing address
601 W Superior St
Munising, MI 49862-1328
Phone (906) 387-3611
Other providers in Munising, MI
- Michelle R Kroupa-Kulik
- Christine M Krueger
- Cheri Lare
- Zachary Thomas Leveque
- M K Stores Inc
- David John Miller
- Kora Mills
- Munising Chiropractic PLLC
- Munising Memorial Hospital
- Munising Memorial Hospital Association
All providers in Munising, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. 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.