Individual provider · Type 1 NPI

Diandra Shakira Miller, PA-C

Surgical Physician Assistant · Vadnais Heights, MN

NPI number 1760986624 Active

Practice location

3580 Arcade St
Vadnais Heights, MN 55127

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X12686 (MN)
Surgical Physician Assistant Primary 363AS0400X12686 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1760986624

Diandra Shakira Miller, PA-C's National Provider Identifier is 1760986624, issued on Mar 23, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vadnais Heights, MN. The record was last updated on Oct 31, 2025.