Deborah K Miller, CNM FNP
Nurse Practitioner, Family in La Crosse, WI. Individual provider (NPI-1).
NPI number1790769990
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1790769990
- Entity type
- Individual (NPI-1)
- Name
- Deborah K Miller
- Credential
- CNM FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2005
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 12169 | WI | Yes |
| 363L00000X | Nurse Practitioner | 2743 | MN | |
| 363LF0000X | Nurse Practitioner, Family | 024002622 | MN | |
| 367A00000X | Advanced Practice Midwife | R0974974 | MN |
Practice location
2500 State Rd # 33La Crosse, WI 54601-5098
Phone 608-775-5858
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
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All 81 Family Nurse Practitioner providers in La Crosse · All 4,035 providers in La Crosse
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