ANNELISE NYSTROM MILLER NPI 1871116400

NPI Information

NPI: 1871116400
Provider Name: ANNELISE NYSTROM MILLER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA
ZIP 94549
Phone: (925) 284-2298
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Annelise Nystrom Miller is a mental health counselor in Lafayette, CA. Annelise Nystrom Miller NPI is 1871116400. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3468 MT DIABLO BLVD STE B201
LAFAYETTE, CA
ZIP 94549-959
Phone: (925) 284-2298

The NPI 1871116400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/18/2020 and was last updated on 1/29/2024.

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	101YM0800X	Counselor	Mental Health			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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