Miller, Kristina L

Miller, Kristina L is an individual health care provider with primary practice located at 555 W Sr 434 , Longwood FL 32750-5119. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Miller, Kristina L can be contacted via phone (407) 262-2220.

Contact Information

Primary practice address
555 W Sr 434 Longwood FL 32750-5119
Phone: (407) 262-2220
Fax: (407) 834-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11033995 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11033995 Florida

Profile Details

NPI number 1720826431
LBN Legal business name Miller, Kristina L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2024
Last updated Oct 21st, 2024 - about 2 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 1720826431 NPPES
Florida MEDICAID 123771600

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