Individual provider · Type 1 NPI
Shannon Nicole Miller, N.P.
Nurse Practitioner · Boston, MA
Practice location
450 Brookline Ave
Boston, MA 02215-5450
Fax (617) 582-8608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN2261243 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1689008500
Shannon Nicole Miller, N.P.'s National Provider Identifier is 1689008500, issued on Aug 27, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jul 18, 2025.