Provider Demographics
NPI:1992484968
Name:ERIN MILLER, DNP PLLC
Entity type:Organization
Organization Name:ERIN MILLER, DNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DNP, ARNP, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:509-863-5907
Mailing Address - Street 1:1120 N TARA LEE ST
Mailing Address - Street 2:
Mailing Address - City:MEDICAL LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99022-8941
Mailing Address - Country:US
Mailing Address - Phone:509-863-5907
Mailing Address - Fax:
Practice Address - Street 1:709A FINLEY GULCH RD
Practice Address - Street 2:
Practice Address - City:COLVILLE
Practice Address - State:WA
Practice Address - Zip Code:99114-9198
Practice Address - Country:US
Practice Address - Phone:509-863-5907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty