Provider Demographics
NPI:1740651462
Name:MILLER, JOYCE A (CRNA)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:MILLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:JOYCE
Other - Middle Name:
Other - Last Name:CACESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:880 RYLAND ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1603
Mailing Address - Country:US
Mailing Address - Phone:775-329-4600
Mailing Address - Fax:775-324-4312
Practice Address - Street 1:880 RYLAND ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:775-329-4600
Practice Address - Fax:775-324-4312
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX885984367500000X
WV94810367500000X
FLAPRN11012031367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCRNA816043OtherNEVADA STATE BOARD OF NURSING
TX885984OtherNURSING LICENSE