SHELLY D MILLER RN NPI 1942615745

NPI Information

NPI: 1942615745
Provider Name: SHELLY D MILLER, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3322 BROADWAY
2 SOUTH
EVERETT, WA
ZIP 98201
Phone: (425) 349-7289
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Shelly D Miller, RN is a psychiatric/mental health registered nurse in Everett, WA. Shelly D Miller, RN NPI is 1942615745. 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:

3322 BROADWAY
2 SOUTH
EVERETT, WA
ZIP 98201-425
Phone: (425) 349-7289

The enumeration date for this NPI number is 7/1/2014 and was last updated on 7/10/2020.

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	163W00000X	Registered Nurse		RN60331698	WASHINGTON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN60331698	WASHINGTON	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	RN60331698	OTHER	WASHINGTON	RN LICENSE

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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