Provider Demographics
NPI:1124054028
Name:MILLER, DARLENE GIVENS (CRNA)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:GIVENS
Last Name:MILLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MISS
Other - First Name:DARLENE
Other - Middle Name:CLARICE
Other - Last Name:GIVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 DEEJAY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8234
Mailing Address - Country:US
Mailing Address - Phone:727-641-8565
Mailing Address - Fax:
Practice Address - Street 1:118 DEEJAY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-8234
Practice Address - Country:US
Practice Address - Phone:727-641-8565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX695254163W00000X, 367500000X
TN0000015859367500000X
AZ168355367500000X
TNAP60165774367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX695254OtherREGISTERED NURSE LICENSE