Provider Demographics
NPI:1598870073
Name:MILLER, DEBORAH LYNN (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7951 E MAPLEWOOD AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4724
Mailing Address - Country:US
Mailing Address - Phone:303-268-4040
Mailing Address - Fax:303-736-4147
Practice Address - Street 1:325 S TELLER ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-7388
Practice Address - Country:US
Practice Address - Phone:303-268-4040
Practice Address - Fax:303-736-4147
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPA 1032363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant