Individual provider · Type 1 NPI
Heather Nicole Miller, PA-C
Medical Physician Assistant · St. Paul, MN
NPI number
1760474480
Active
Practice location
2550 University Ave W, Suite 423 South
St. Paul, MN 55114-1052
Fax (612) 870-5857
Mailing address
PO Box 14909
Minneapolis, MN 55414-0909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 9922 (MN) |
Medical Physician Assistant: Definition to come...
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About NPI 1760474480
Heather Nicole Miller, PA-C's National Provider Identifier is 1760474480, issued on Aug 18, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Paul, MN. The record was last updated on Mar 24, 2008.