Judith L Miller, MD is a
Nurse Practitioner - Gerontology based in Spring Park, Minnesota. Judith L Miller is licensed to practice in Minnesota (license number R0732886) and her current practice location is
4695 Shoreline Dr, Spring Park, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 442-7890.
NPI number for Judith L Miller is 1306845243 and her current mailing address is 4695 Shoreline Dr, Spring Park, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306845243.
Provider's Profile
Full Name | Judith L Miller |
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Gender | Female |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 4695 Shoreline Dr, Spring Park, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306845243
- Provider Enumeration Date: 07/21/2005
- Last Update Date: 05/13/2008
Medical Identifiers
Medical identifiers for Judith L Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306845243 | NPI | - | NPPES |
412726900 | Medicaid | MN | |
R0732886 | Other | MN | RN LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | R0732886 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judith L Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Judith L Miller, MD 4695 Shoreline Dr, Spring Park, MN 55384-9715 Ph: (952) 442-7890 | Judith L Miller, MD 4695 Shoreline Dr, Spring Park, MN 55384-9715 Ph: (952) 442-7890 |
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