Provider Demographics
NPI:1043860158
Name:MILLER, VALERIE T (FNP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:T
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:T
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7585 KITTY HAWK
Mailing Address - Street 2:STE 201
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2820
Mailing Address - Country:US
Mailing Address - Phone:210-342-7300
Mailing Address - Fax:
Practice Address - Street 1:2277 NW MILITARY HWY STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1853
Practice Address - Country:US
Practice Address - Phone:210-342-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31640363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily