Kourtney Miller
Registered Nurse in Bronx, NY. Individual provider (NPI-1).
NPI number1750901351
StatusActive
Last updated in NPPESApr 23, 2020
Details
- NPI
- 1750901351
- Entity type
- Individual (NPI-1)
- Name
- Kourtney Miller
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2020
- Certification date
- Apr 23, 2020
- Last updated
- Apr 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 745791 | NY | Yes |
Practice location
2953 Bruner AveBronx, NY 10469-3313
Phone 718-671-0680
Mailing address
1308 Hicks St Apt 2aBronx, NY 10469-1736
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