Basic Information
Provider Information
NPI: 1730294836
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DARLING MILLER
FirstName: PATRICIA
MiddleName: A
NamePrefix: MS.
NameSuffix:  
Credential: APNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3301 W FOREST HOME AVE
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532152843
CountryCode: US
TelephoneNumber: 4146476326
FaxNumber: 4146718860
Practice Location
Address1: 980 S ST AUGUSTINE ST
Address2:  
City: PULASKI
State: WI
PostalCode: 54162
CountryCode: US
TelephoneNumber: 9208227700
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/20/2006
LastUpdateDate: 02/21/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X2598-033WIY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
163W00000X82378-030WIN Nursing Service ProvidersRegistered Nurse 

No ID Information.


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