Provider Demographics
NPI:1215467212
Name:MILLER, SABRA J (APRN)
Entity type:Individual
Prefix:
First Name:SABRA
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:710 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE CENTER
Mailing Address - State:IA
Mailing Address - Zip Code:50115-1549
Mailing Address - Country:US
Mailing Address - Phone:641-332-2201
Mailing Address - Fax:641-332-2702
Practice Address - Street 1:312 N FREMONT ST STE A
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:IA
Practice Address - Zip Code:50250-2083
Practice Address - Country:US
Practice Address - Phone:515-523-8050
Practice Address - Fax:641-332-3910
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2021-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAA160434363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner