Provider Demographics
NPI:1811150063
Name:MILLER, NEELIA R (FNP)
Entity type:Individual
Prefix:
First Name:NEELIA
Middle Name:R
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2653 S NOME ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1811
Mailing Address - Country:US
Mailing Address - Phone:719-671-8327
Mailing Address - Fax:
Practice Address - Street 1:2653 S NOME ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1811
Practice Address - Country:US
Practice Address - Phone:719-671-8327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO173341363LF0000X
TX876363LF0000X
CO5569363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
2008000922OtherAMERICAN NURSES CRED CENTER