Karin Stefanie Miller
Individual provider Active NPI Registered Nurse · Ellenton, FL
NPI 1972026086 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1972026086
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 9286895 (FL)
- Practice address
- 4142 Day Bridge PL
Ellenton, FL 34222-7235 - Phone
- (941) 447-0625
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 9286895 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9286895 | FL | Yes |
Addresses
Primary practice location
4142 Day Bridge PL
Ellenton, FL 34222-7235
Mailing address
4142 Day Bridge PL
Ellenton, FL 34222-7235
Phone (941) 447-0625
Other names
- Karin Stefanie Fick
Other providers in Ellenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.