Individual provider · Type 1 NPI
Michele Joy Miller, NP
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1679876494
Active
Practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
101 E. Olney Ave, Provider Enrollment, Suite 400
Philadelphia, PA 19120-2421
Other practice locations
- 7559 263rd St, Glen Oaks, NY 11004-1150 · (718) 470-8390
- 7559 263rd St, Glen Oaks, NY 11004-1150 · (718) 470-8390
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401336-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP014855 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679876494
Michele Joy Miller, NP's National Provider Identifier is 1679876494, issued on Dec 16, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 17, 2018.