Provider Demographics
NPI:1548796774
Name:MILLER, QUYEN MINH (APRN-CNP)
Entity Type:Individual
Prefix:MRS
First Name:QUYEN
Middle Name:MINH
Last Name:MILLER
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:MS
Other - First Name:QUYEN
Other - Middle Name:MINH
Other - Last Name:PHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7216 NE 116TH ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-4802
Mailing Address - Country:US
Mailing Address - Phone:405-471-7272
Mailing Address - Fax:
Practice Address - Street 1:7216 NE 116TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-4802
Practice Address - Country:US
Practice Address - Phone:405-471-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-09
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK93782363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal