Provider Demographics
NPI:1619188786
Name:MILLER, ARPANA BACHIREDDY (CRNA)
Entity Type:Individual
Prefix:
First Name:ARPANA
Middle Name:BACHIREDDY
Last Name:MILLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ARPANA
Other - Middle Name:REDDY
Other - Last Name:BACHIREDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:RABB 239
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-3110
Mailing Address - Fax:617-667-5050
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:RABB 239
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3110
Practice Address - Fax:617-667-5050
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2264782367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered