Individual provider · Type 1 NPI

Maggie Miller, AGNP

Adult Health Nurse Practitioner · Bridgeton, MO

NPI number 1205793650 Active

Practice location

12266 Depaul Drive, Suite 205
Bridgeton, MO 63044

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X2026001083 (MO)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1205793650

Maggie Miller, AGNP's National Provider Identifier is 1205793650, issued on Jan 7, 2026. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bridgeton, MO. The record was last updated on Jan 15, 2026.