Individual provider · Type 1 NPI

Debra Miller, CPNP

Pediatric Nurse Practitioner · Mesa, AZ

NPI number 1457312340 Active

Practice location

4540 E Baseline Rd, Suite 108
Mesa, AZ 85206-4613

Mailing address

952 W Natal Ave
Mesa, AZ 85210-7652

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN102307 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457312340

Debra Miller, CPNP's National Provider Identifier is 1457312340, issued on Mar 30, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Jul 10, 2007.