Kimberly Michelle Miller, NURSE PRACTITIONER | |
481 Majestic Valley Rd, Lebanon, VA 24266 | |
(276) 596-0608 | |
Not Available |
Full Name | Kimberly Michelle Miller |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 481 Majestic Valley Rd, Lebanon, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023681293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 0024181713 (Virginia) | Primary |
Entity Name | Living Water Vein Institute, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134782170 PECOS PAC ID: 5395073993 Enrollment ID: O20191029003727 |
Mailing Address | Practice Location Address |
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Kimberly Michelle Miller, NURSE PRACTITIONER Po Box 2875, Lebanon, VA 24266-2875 Ph: (276) 596-0608 | Kimberly Michelle Miller, NURSE PRACTITIONER 481 Majestic Valley Rd, Lebanon, VA 24266 Ph: (276) 596-0608 |
Mrs. Amanda Michele Mullins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 142 Highland Dr, Lebanon, VA 24266 Phone: 276-889-0433 Fax: 276-889-5537 | |
Mrs. Kathy Jo Justus, CFNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 East Main Street, Lebanon, VA 24266 Phone: 276-889-3700 Fax: 276-889-5505 | |
Amanda Elizabeth Horner, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 58 Carroll Street, Lebanon, VA 24266 Phone: 276-883-8000 | |
Mrs. Jacquelin London Greene, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 58 Carroll St, Lebanon, VA 24266 Phone: 276-883-8086 Fax: 276-883-8090 | |
Kelly E Harness, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 344 Overlook Dr Ste 200, Lebanon, VA 24266 Phone: 276-883-5900 | |
Nancy Sue Blevins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 Rogers Street, Lebanon, VA 24266 Phone: 276-889-7621 Fax: 276-889-7621 |