Most Relevant Information
Provider Data
| NPI Number: | 1003517939 |
| Provider Name: | BENJAMIN C. MILLER PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 177223-30 |
Most Important Dates
| Enumeration Date: | 03/16/2023 |
| Last Updated: | 03/16/2023 |
Provider Practice Location
1000 MINERAL POINT AVE
JANESVILLE
WI
535482940
Practice Location Phone/Fax
| Phone: | 6087566508 |
| Fax: | 6087416962 |
Provider Mailing Location
1000 MINERAL POINT AVE
JANESVILLE
WI
535482940
Provider Mailing Phone/Fax
| Phone: | 6087566508 |
| Fax: | 6087416962 |