IndividualActive
Rusty Miller
NPI 1295235018 · Registered Nurse First Assistant · Saint Louis, MO
Provider details
- NPI number
- 1295235018
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 155019 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone: (314) 614-7038
Approximate (ZIP-level) locationGet directions
Mailing address
4342 Jarvis Rd
Hillsboro, MO 63050-2710
Registry dates
- Enumerated
- 2018-02-19
- Last updated
- 2018-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.