Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL MILLER, CNP
Active Sole ProprietorRUSSELL MILLER, CNP is a Gerontological Nurse Practitioner healthcare provider located in SHELBY TOWNSHIP, Michigan. NPI 1013455922 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · SHELBY TOWNSHIP, MI
Registration Details
- NPI Number
- 1013455922
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2017 (9.3162075616911 yrs)
- Last Updated
- Feb 11, 2017
- License
-
4704281165 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50505 SCHOENHERR RDSTE. 340SHELBY TOWNSHIP, MI, 483153140Browse MI providers · Browse ZIP 48315
- Phone
- 5867318400
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.