Provider Demographics
NPI:1841229838
Name:VER MILLER, JANNA DIANE (MD)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:DIANE
Last Name:VER MILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 W 2ND PL
Mailing Address - Street 2:MED PLAZA 2 STE 450
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1719
Mailing Address - Country:US
Mailing Address - Phone:303-825-1234
Mailing Address - Fax:720-321-8121
Practice Address - Street 1:11700 W 2ND PL
Practice Address - Street 2:MED PLAZA 2 STE 450
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1719
Practice Address - Country:US
Practice Address - Phone:303-825-1234
Practice Address - Fax:720-321-8121
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0043674207R00000X
CO43674207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine