Basic Information
Provider Information
NPI: 1437889417
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: JULIET
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 744 W WYNWOOD PARK DR
Address2:  
City: MURRAY
State: UT
PostalCode: 841237004
CountryCode: US
TelephoneNumber: 9517230094
FaxNumber:  
Practice Location
Address1: 10 S 2000 E
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 841125880
CountryCode: US
TelephoneNumber: 8015813414
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/13/2022
LastUpdateDate: 06/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X  Y Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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