Provider Demographics
NPI:1538490511
Name:MILLER, JANET PATRICIA (MSN, RNC, NP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:PATRICIA
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSN, RNC, NP
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:PATRICIA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP, MSN, RNC
Mailing Address - Street 1:72624 EL PASEO
Mailing Address - Street 2:SUITE A1
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3309
Mailing Address - Country:US
Mailing Address - Phone:310-614-7179
Mailing Address - Fax:
Practice Address - Street 1:72624 EL PASEO
Practice Address - Street 2:SUITE A1
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3309
Practice Address - Country:US
Practice Address - Phone:760-346-3222
Practice Address - Fax:760-346-3234
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17003363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health