Provider Demographics
NPI:1881681120
Name:MILLER, ANNE ELIZABETH (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 WARDENBURG DR.
Mailing Address - Street 2:119 UCB
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309
Mailing Address - Country:US
Mailing Address - Phone:303-492-2277
Mailing Address - Fax:303-735-1900
Practice Address - Street 1:1900 WARDENBURG DR.
Practice Address - Street 2:119 UCB
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309
Practice Address - Country:US
Practice Address - Phone:303-492-2277
Practice Address - Fax:303-735-1900
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR50627363LP0808X
UT2239294402367A00000X
COAPN.00200011-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMB3865Medicaid
CO53650778Medicaid
AZ436156Medicaid
CO53650778Medicaid
320059Medicare Oscar/Certification
8HZ25CMedicare PIN
8HZ22RMedicare PIN