Provider Demographics
NPI:1952958092
Name:MILLER, MARIE MATHURIN (CNM, DNP)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:MATHURIN
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNM, DNP
Other - Prefix:DR
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:MATHURIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7020 SYDNEY CURV
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-3508
Mailing Address - Country:US
Mailing Address - Phone:334-395-6969
Mailing Address - Fax:334-271-2593
Practice Address - Street 1:7020 SYDNEY CURV
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3508
Practice Address - Country:US
Practice Address - Phone:334-395-6969
Practice Address - Fax:334-271-2593
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003003367A00000X
AL3-001935367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife