Miller, Tami J

Miller, Tami J is an individual health care provider with primary practice located at 3998 Fair Ridge Dr , Fairfax VA 22033-2907. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Miller, Tami J can be contacted via phone (804) 289-4937.

Contact Information

Primary practice address
3998 Fair Ridge Dr Fairfax VA 22033-2907
Phone: (804) 289-4937
Fax: (804) 565-6600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024166466 Virginia

Profile Details

NPI number 1689675696
LBN Legal business name Miller, Tami J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Oct 6th, 2014 - about 12 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 1689675696 NPPES
Virginia MEDICAID 1689675696

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