NPI Profile for ETTHAN C MILLER in WYTHEVILLE, VA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Emergency |
163WE0003X | |||
Occupational Health |
163WX0106X |
| NPI Number | 1336546209 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/20/2014 | |
| Last updated | 05/01/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ETTHAN C MILLER
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