ANDREA SUE MILLER N.P. NPI 1629418041

NPI Information

NPI: 1629418041
Provider Name: ANDREA SUE MILLER, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OKEMOS ALLERGY CENTER, P.C.

PECOS Registration: Yes

Address:
1975 W M 21 STE 104
OWOSSO, MI
ZIP 48867
Phone: (989) 725-8171
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Andrea Sue Miller, N.P. is a family nurse practitioner in Owosso, MI with 11 years of experience. Andrea Sue Miller, N.P. NPI is 1629418041. 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:

1975 W M 21 STE 104
OWOSSO, MI
ZIP 48867-164
Phone: (989) 725-8171
Fax: (989) 723-1257

The NPI 1629418041 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 6/29/2013 and was last updated on 8/30/2016.

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	4704255922	MICHIGAN	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	1629418041	MEDICAID	MICHIGAN
2	N90910027	MEDICARE PIN	MICHIGAN

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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