Miller, Laura L

Miller, Laura L is an individual health care provider with primary practice located at 4049 S Campbell Ave , Springfield MO 65807-5303. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Laura L can be contacted via phone (417) 890-5550.

Contact Information

Primary practice address
4049 S Campbell Ave Springfield MO 65807-5303
Phone: (417) 890-5550
Fax: (417) 889-6898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN096032 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2094 Texas

Profile Details

NPI number 1043281199
LBN Legal business name Miller, Laura L
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 9th, 2013 - about 13 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 1043281199 NPPES
Missouri MEDICAID 423999507

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