Provider Demographics
NPI:1457499253
Name:MIGLICCO MILLER, BARBARA JEAN (APRN BC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEAN
Last Name:MIGLICCO MILLER
Suffix:
Gender:F
Credentials:APRN BC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1710 W BUSINEE 287
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165
Mailing Address - Country:US
Mailing Address - Phone:972-937-5252
Mailing Address - Fax:972-937-5259
Practice Address - Street 1:1710 W BUSINESS 287
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165
Practice Address - Country:US
Practice Address - Phone:972-765-6681
Practice Address - Fax:972-931-1701
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX501274163W00000X
TX036469201363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse