Basic Information
Provider Information
NPI: 1831483668
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: DANIELLA
MiddleName:  
NamePrefix:  
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Credential: MD
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Mailing Information
Address1: 111 MICHIGAN AVE NW
Address2: W3.5, 600
City: WASHINGTON
State: DC
PostalCode: 200102916
CountryCode: US
TelephoneNumber: 2024763670
FaxNumber:  
Practice Location
Address1: 200 HENRY CLAY AVE
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701185720
CountryCode: US
TelephoneNumber: 5048969458
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/09/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0402XMD.206365LAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


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