Individual provider · Type 1 NPI
Russell Miller, CNP
Gerontology Nurse Practitioner · Shelby Township, MI
NPI number
1013455922
Active
Practice location
50505 Schoenherr Rd, Ste. 340
Shelby Township, MI 48315-3140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704281165 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1013455922
Russell Miller, CNP's National Provider Identifier is 1013455922, issued on Feb 11, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shelby Township, MI. The record was last updated on Feb 11, 2017.