Maggie Miller, | |
1517 Technology Dr Ste 101, Chesapeake, VA 23320-5985 | |
(757) 339-3624 | |
Not Available |
Full Name | Maggie Miller |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1517 Technology Dr Ste 101, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639880941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86294444 (Virginia) | Primary |
Provider Name | Nuleeu Nutrition And Wellness, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922576198 PECOS PAC ID: 7517206386 Enrollment ID: O20190222001802 |
Mailing Address | Practice Location Address |
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Maggie Miller, 1517 Technology Dr Ste 101, Chesapeake, VA 23320-5985 Ph: () - | Maggie Miller, 1517 Technology Dr Ste 101, Chesapeake, VA 23320-5985 Ph: (757) 339-3624 |
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