Provider Demographics
NPI:1629341201
Name:MILLER, STEPHANIE BETH (ARNP FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:BETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:ARNP FNP-BC
Other - Prefix:MISS
Other - First Name:STEPHANIE
Other - Middle Name:BETH
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN ARNP FNP-BC
Mailing Address - Street 1:22 W DRY CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4413
Mailing Address - Country:US
Mailing Address - Phone:303-730-4700
Mailing Address - Fax:
Practice Address - Street 1:22 W DRY CREEK CIR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4413
Practice Address - Country:US
Practice Address - Phone:303-730-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA113521363LF0000X
COAPN.0997922-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0997922-NPOtherCOLORADO BOARD OF NURSING APN LICENCE
CORXN.0106917-NPOtherCOLORADO BOARD OF NURSING NP-RXN
IAA113521OtherIOWA BOARD OF NURSING LICENSE