Miller, Andrea Lynn
Miller, Andrea Lynn is an individual health care provider with primary practice located at 406 N 1St St , Vincennes IN 47591-1340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miller, Andrea Lynn can be contacted via phone (812) 882-1106.Contact Information
Primary practice address
406 N 1St St
Vincennes IN 47591-1340
Phone: (812) 882-1106
Fax: (812) 885-2758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001643A | Indiana |
Profile Details
| NPI number | 1548339005 |
|---|---|
| LBN Legal business name | Miller, Andrea Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548339005 | NPPES |
| Indiana | Other | 71001643A | LICENSE |
| Indiana | Other | M400032567 | LICENSE |
| Indiana | MEDICAID | 200922190 | LICENSE |
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