Provider Demographics
NPI:1194809244
Name:MILLER, VELDA JUNE (RN,BSN)
Entity type:Individual
Prefix:MS
First Name:VELDA
Middle Name:JUNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6751 STEAMER DR SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98513-6223
Mailing Address - Country:US
Mailing Address - Phone:360-413-7954
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF VETERAN'S AFFAIRS PUGET SOUND HEALTH CAR
Practice Address - Street 2:AMERICAN LAKE DIVISION
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-5000
Practice Address - Country:US
Practice Address - Phone:253-583-1115
Practice Address - Fax:253-589-4028
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00121045163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care