Michelle K Miller, F.N.P.-C
Nurse Practitioner in Clinton, IN. Individual provider (NPI-1).
NPI number1073801734
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1073801734
- Entity type
- Individual (NPI-1)
- Name
- Michelle K Miller
- Credential
- F.N.P.-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2011
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71003631A | IN | Yes |
| 363L00000X | Nurse Practitioner | 28179417A | IN | |
| 363LF0000X | Nurse Practitioner, Family | 209018042 | IL |
Other names
- Michelle K Crain (Former Name)
Practice location
777 S Main St Ste 100Clinton, IN 47842-2493
Phone 765-828-1003
Mailing address
250 N Shadeland AveSuite 130 - Provider Enrollment
Indianapolis, IN 46219-4959
Phone 800-732-1066 · Fax 317-962-4343
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All 8 Nurse Practitioner providers in Clinton · All 161 providers in Clinton
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