Individual provider · Type 1 NPI

Shane Renee Blackwell Miller

Registered Nurse · Birmingham, AL

NPI number 1417568676 Active

Practice location

933 Garrett Dr
Birmingham, AL 35235-1420

Mailing address

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN-80007 (NM)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1417568676

Shane Renee Blackwell Miller's National Provider Identifier is 1417568676, issued on Aug 12, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Birmingham, AL. The record was last updated on Jun 1, 2021.