Individual provider · Type 1 NPI
Michelle R. Miller, PA
Medical Physician Assistant · Tyndall, Afb, FL
NPI number
1497759930
Active
Practice location
325 Mdg, 340 Magmolia Cir
Tyndall, Afb, FL 32403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1843 (MN) |
| Medical Physician Assistant Primary | 363AM0700X | 1349 (WI) |
Medical Physician Assistant: Definition to come...
About NPI 1497759930
Michelle R. Miller, PA's National Provider Identifier is 1497759930, issued on Jun 13, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tyndall, Afb, FL. The record was last updated on May 9, 2018.