Provider Demographics
NPI:1912959966
Name:MILLER, JOEL R (CRNA)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:R
Last Name:MILLER
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:3100 SPRING FOREST ROAD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-2880
Mailing Address - Country:US
Mailing Address - Phone:919-882-0705
Mailing Address - Fax:919-873-9821
Practice Address - Street 1:5801 BREMO ROAD
Practice Address - Street 2:AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-1907
Practice Address - Country:US
Practice Address - Phone:973-660-9334
Practice Address - Fax:804-282-9921
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2024-05-10
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Provider Licenses
StateLicense IDTaxonomies
VA0024166848367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010290783Medicaid
VA009934H90Medicare ID - Type Unspecified