Individual provider · Type 1 NPI

Kathleen Mary Miller, APRN, BC, PNP

Pediatric Nurse Practitioner · Goshen, NY

NPI number 1972713675 Active

Practice location

53 Gibson Rd, Orange Ulster
Goshen, NY 10924-6709

Fax (845) 291-0198

Mailing address

154 Waters Edge
Montgomery, NY 12549-1309

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF380302-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1972713675

Kathleen Mary Miller, APRN, BC, PNP's National Provider Identifier is 1972713675, issued on May 23, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Goshen, NY. The record was last updated on Jul 8, 2007.