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Mary D Miller, MSN, RN,

Registered Nurse in Sault Sainte Marie, MI. Individual provider (NPI-1).

NPI number1972169076
StatusActive
Last updated in NPPESApr 23, 2020

Details

NPI
1972169076
Entity type
Individual (NPI-1)
Name
Mary D Miller
Credential
MSN, RN,
Sex
Female
Sole proprietor
Yes
Enumeration date
May 14, 2019
Certification date
Apr 23, 2020
Last updated
Apr 23, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse4704298189MIYes

Practice location

508 Ashmun St Ste 120
Sault Sainte Marie, MI 49783-1991

Phone 906-635-1566

Mailing address

508 Ashmun St Ste 120
Sault Sainte Marie, MI 49783-1991

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