MR. DOUGLAS DEAN MILLER MSN FNP NPI 1902899073

NPI Information

NPI: 1902899073
Provider Name: MR. DOUGLAS DEAN MILLER, MSN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MEADOWS FAMILY MEDICAL CENTER INC

PECOS Registration: Yes

Address:
1014 ELM AVE
ROCKY FORD, CO
ZIP 81067
Phone: (719) 254-7421
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MR. Douglas Dean Miller, MSN, FNP is a family nurse practitioner in Rocky Ford, CO with 27 years of experience. MR. Douglas Dean Miller, MSN, FNP NPI is 1902899073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1014 ELM AVE
ROCKY FORD, CO
ZIP 81067-328
Phone: (719) 254-7421
Fax: (719) 254-6966

The NPI 1902899073 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 6/4/2020.

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	363LF0000X	Nurse Practitioner	Family	106502, RXN, NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	70077371	MEDICAID	COLORADO

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: 11/14/2023

NPI Synchronization or Removal

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