Provider Demographics
NPI:1538509872
Name:MILLER-TSO, DENISE ANN (NP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:ANN
Last Name:MILLER-TSO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 TOWNLEY CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4825
Mailing Address - Country:US
Mailing Address - Phone:678-218-8115
Mailing Address - Fax:
Practice Address - Street 1:1872 INDEPENDENCE SQ STE A
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5170
Practice Address - Country:US
Practice Address - Phone:678-218-8115
Practice Address - Fax:877-247-9857
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN150727363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health