Kathleen Mary Miller, APRN, BC, PNP
Nurse Practitioner, Pediatrics in Goshen, NY. Individual provider (NPI-1).
NPI number1972713675
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1972713675
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kathleen Mary Miller
- Credential
- APRN, BC, PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F380302-1 | NY | Yes |
Practice location
53 Gibson RdOrange Ulster
Goshen, NY 10924-6709
Phone 845-291-0275 · Fax 845-291-0198
Mailing address
154 Waters EdgeMontgomery, NY 12549-1309
Phone 845-457-4683
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