Basic Information
Provider Information
NPI: 1790022861
EntityType: 2
ReplacementNPI:  
OrganizationName: LINDSEY A. MILLER, ARNP, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2142 8TH AVE N
Address2: 407
City: SEATTLE
State: WA
PostalCode: 981092492
CountryCode: US
TelephoneNumber: 2068523586
FaxNumber:  
Practice Location
Address1: 33305 1ST WAY S
Address2: B203
City: FEDERAL WAY
State: WA
PostalCode: 980036235
CountryCode: US
TelephoneNumber: 2532355956
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/09/2013
LastUpdateDate: 01/09/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MILLER
AuthorizedOfficialFirstName: LINDSEY
AuthorizedOfficialMiddleName: ANNE
AuthorizedOfficialTitleorPosition: NURSE PRACTITIONER
AuthorizedOfficialTelephone: 2068523586
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: ARNP
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAP30007970WAY193400000X SINGLE SPECIALTY GROUPPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


Home