Marietta Camra Miller, LPN is a
Licensed Practical Nurse based in Basin, Wyoming. Marietta Camra Miller is licensed to practice in Wyoming (license number 3362) and her current practice location is
617 Zane Ave, Basin, Wyoming. She can be reached at her office (for appointments etc.) via phone at
(307) 272-9888.
NPI number for Marietta Camra Miller is 1154853398 and her current mailing address is 617 Zane Ave, Basin, Wyoming. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154853398.
Provider's Profile
| Full Name | Marietta Camra Miller |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 617 Zane Ave, Basin, Wyoming |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154853398
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 03/28/2017
Medical Identifiers
Medical identifiers for Marietta Camra Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154853398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 3362 (Wyoming) | 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. Marietta Camra 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 |
|---|
Marietta Camra Miller, LPN
617 Zane Ave,
Basin, WY 82410
Ph: () - | Marietta Camra Miller, LPN
617 Zane Ave,
Basin, WY 82410
Ph: (307) 272-9888 |
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