Provider Demographics
NPI:1598954406
Name:MILLER, MARGARET J (CRNA)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38624 161ST ST
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:SD
Mailing Address - Zip Code:57424-5610
Mailing Address - Country:US
Mailing Address - Phone:605-472-2319
Mailing Address - Fax:
Practice Address - Street 1:300 W 5TH ST
Practice Address - Street 2:
Practice Address - City:MILLER
Practice Address - State:SD
Practice Address - Zip Code:57362-1238
Practice Address - Country:US
Practice Address - Phone:605-853-2421
Practice Address - Fax:605-853-0333
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD016527282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access