IndividualActive
Carol Miller
NPI 1336201136 · Medical Physician Assistant · Farmington, NM
Provider details
- NPI number
- 1336201136
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA2004-0032 (NM)
Practice location
2300 E 30th St Bldg D
Ste 101
Farmington, NM 87401-8990
Phone: (505) 327-1400
Fax: (505) 566-3202
Mailing address
2300 E 30th St Bldg D
Farmington, NM 87401-8990
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2016-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.