IndividualActive
Diandra Miller, PA-C
NPI 1760986624 · Surgical Physician Assistant · Vadnais Heights, MN
Provider details
- NPI number
- 1760986624
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 12686 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3580 Arcade St
Vadnais Heights, MN 55127
Phone: (651) 968-5600
Approximate (ZIP-level) locationGet directions
Mailing address
3580 Arcade St
Vadnais Heights, MN 55127-7135
Registry dates
- Enumerated
- 2018-03-23
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.