Kiana Rachelle Miller, FNP-C | |
101 S Main St, Rogersville, MO 65742-9357 | |
(417) 753-9404 | |
(417) 753-9137 |
Full Name | Kiana Rachelle Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 101 S Main St, Rogersville, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669883849 | NPI | - | NPPES |
1669883849 | Medicaid | MO | |
2014000689 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2014000689 (Missouri) | Primary |
Entity Name | Sgoh Acquisition Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
Mailing Address | Practice Location Address |
---|---|
Kiana Rachelle Miller, FNP-C 101 S Main St, Rogersville, MO 65742-9357 Ph: (417) 753-9404 | Kiana Rachelle Miller, FNP-C 101 S Main St, Rogersville, MO 65742-9357 Ph: (417) 753-9404 |
Jessica Burks, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Stephanie Rose Davison, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Sofia Rodriguez Hoces, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Melanie R. Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 199 Johnstown Dr, Rogersville, MO 65742 Phone: 417-753-7770 | |
Steven R Barnes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 | |
Bonnie Lisa Stark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St, Rogersville, MO 65742 Phone: 417-753-9404 Fax: 417-753-9137 |