SHANTE MONIQUE MILLER CO 61037377 NPI 1639798192

NPI Information

NPI: 1639798192
Provider Name: SHANTE MONIQUE MILLER, CO 61037377
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2601 SUMMIT AVE
EVERETT, WA
ZIP 98201
Phone: (425) 258-2407
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Shante Monique Miller, CO 61037377 is a student in an organized health care education training program in Everett, WA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shante Monique Miller, CO 61037377 NPI is 1639798192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2601 SUMMIT AVE
EVERETT, WA
ZIP 98201-309
Phone: (425) 258-2407
Fax: (425) 339-2601

The enumeration date for this NPI number is 4/14/2020 and was last updated on 6/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO61037377	WASHINGTON	No
2	390200000X	Student in an Organized Health Care Education/Training Program		CO61037377	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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