CARISSA MILLER

FORT WAYNE, IN
NPI1942824842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IN  71010075A)
Enumeration Date2020-06-05
Last Update Date2020-08-21
Business Address
CARISSA MILLER NP
707 ROLLINGWOOD LN
FORT WAYNE, IN 46845-1088
Phone number: 260-255-8752
Mailing Address
CARISSA MILLER NP
707 ROLLINGWOOD LN
FORT WAYNE, IN 46845-1088
Phone number: 260-255-8752