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
Fax: (812) 885-2758
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548339005 NPPES
Indiana Other 71001643A LICENSE
Indiana Other M400032567 LICENSE
Indiana MEDICAID 200922190 LICENSE

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