Miller, Michelle Anne

Miller, Michelle Anne is an individual health care provider with primary practice located at 3857 Martin Way E , Olympia WA 98506-5268. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Miller, Michelle Anne can be contacted via phone (360) 704-7170.

Contact Information

Primary practice address
3857 Martin Way E Olympia WA 98506-5268
Phone: (360) 704-7170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X NU60040672 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1932340163
LBN Legal business name Miller, Michelle Anne
Credentials M.S., C.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2009
Last updated Mar 11th, 2020 - about 6 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 1932340163 NPPES
Washington MEDICAID 1932340163

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