Provider Demographics
NPI:1922334614
Name:MILLER, APRIL MARIE (LMP)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MARIE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 536
Mailing Address - Street 2:
Mailing Address - City:YACOLT
Mailing Address - State:WA
Mailing Address - Zip Code:98675-0699
Mailing Address - Country:US
Mailing Address - Phone:360-798-9875
Mailing Address - Fax:360-686-4040
Practice Address - Street 1:311 N. AMBOY AVE.
Practice Address - Street 2:
Practice Address - City:YACOLT
Practice Address - State:WA
Practice Address - Zip Code:98675
Practice Address - Country:US
Practice Address - Phone:360-798-9875
Practice Address - Fax:360-686-4040
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00019596171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor