Basic Information
| Provider Information | |||||||||
| NPI: | 1841229838 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VER MILLER | ||||||||
| FirstName: | JANNA | ||||||||
| MiddleName: | DIANE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11700 W 2ND PL | ||||||||
| Address2: | MED PLAZA 2 STE 450 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802281719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038251234 | ||||||||
| FaxNumber: | 7203218121 | ||||||||
| Practice Location | |||||||||
| Address1: | 11700 W 2ND PL | ||||||||
| Address2: | MED PLAZA 2 STE 450 | ||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802281719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3038251234 | ||||||||
| FaxNumber: | 7203218121 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2006 | ||||||||
| LastUpdateDate: | 01/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | DR.0043674 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RG0300X | 43674 | CO | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
No ID Information.