Provider Demographics
NPI:1386606739
Name:MILLER, KRISTEN CALAME (NP)
Entity type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:CALAME
Last Name:MILLER
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:26932 OSO PARKWAY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-5432
Mailing Address - Country:US
Mailing Address - Phone:714-313-9668
Mailing Address - Fax:
Practice Address - Street 1:26932 OSO PKWY
Practice Address - Street 2:SUITE 270
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-5815
Practice Address - Country:US
Practice Address - Phone:949-600-5325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2011-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP 11009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACJ369Medicare UPIN