Individual provider · Type 1 NPI
Kelley Dawn Miller, CRNP
Pediatric Nurse Practitioner · Philadelphia, PA
NPI number
1689953515
Active
Practice location
3401 Civic Center Blvd, Cardiac Center
Philadelphia, PA 19104-4319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN626678 (PA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | SP011522 (PA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1689953515
Kelley Dawn Miller, CRNP's National Provider Identifier is 1689953515, issued on Aug 9, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 29, 2019.