Dr KRISTA A MILLER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
PROVIDENCE MEDICAL GROUP
49 E CTR ST
FARMERSVILLE
OH
453251110
Tel: 9376962858
| Npi | 1093215089 |
| Pac Id | 6709773658 |
| Professional Enrollment Id | I20180321002556 |
| Last Name | MILLER |
| First Name | KRISTA |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Group Practice Pac Id | 2860386349 |
| Number Of Group Practice Members | 36 |
| Line 1 Street Address | 49 E CTR ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FARMERSVILLE |
| State | OH |
| Zip Code | 453251110 |
| Phone Number | 9376962858 |
| Hospital Affiliation Ccn 1 | 360239 |
| Hospital Affiliation Lbn 1 | KETTERING MEDICAL CENTER - SYCAMORE |
| Hospital Affiliation Ccn 2 | 360133 |
| Hospital Affiliation Lbn 2 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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