Most Relevant Information
Provider Data
| NPI Number: | 1003675604 |
| Provider Name: | ROSANNA A MILLER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | NURP6617 |
Most Important Dates
| Enumeration Date: | 03/15/2024 |
| Last Updated: | 03/15/2024 |
Provider Practice Location
2521 E MOUNTAIN VILLAGE DR
WASILLA
AK
996547373
Practice Location Phone/Fax
| Phone: | 6022488886 |
| Fax: |
Provider Mailing Location
8444 N 90TH ST STE 100
SCOTTSDALE
AZ
852584437
Provider Mailing Phone/Fax
| Phone: | 6022488886 |
| Fax: | 6028540504 |