Female

Nicole Miller PA-C

Physician Assistant in West Orange, NJ(View on Map)

Full Name

Nicole Miller PA-C

NPI Number

1033515978

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/04/2014

Specialties

(Taxonomies)

Code

363A00000X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Illinois
New Jersey

License Number

085.005288
25MP00711100

Contact
Information

Purpose

Mailing
Location

Address

101 OLD SHORT HILLS RD STE 217
101 OLD SHORT HILLS RD STE 217

City

West Orange
West Orange

State

NJ
NJ

Postal Code

07052-1091
07052-1091

Country

US
US

Telephone Number

(973) 731-4600
(973) 731-4600

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/20/2024

Provider Address

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