Provider Demographics
NPI:1609892439
Name:MILLER, ALETA J (ARNP)
Entity Type:Individual
Prefix:
First Name:ALETA
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8103 STEILACOOM BLVD SW
Mailing Address - Street 2:SUITE 45
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-6154
Mailing Address - Country:US
Mailing Address - Phone:360-352-3627
Mailing Address - Fax:
Practice Address - Street 1:8103 STEILACOOM BLVD SW
Practice Address - Street 2:SUITE 45
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6154
Practice Address - Country:US
Practice Address - Phone:360-352-3627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003231163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAS45872Medicare UPIN
WA8854007Medicare ID - Type Unspecified
WAGAB02429Medicare UPIN