IndividualActive
Martha Miller, BC-ACNP
NPI 1942528252 · Nurse Practitioner · Santa Rosa, NM
Provider details
- NPI number
- 1942528252
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- BC-ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- CNP-01641 (NM)
Practice location
724 Lake Dr
Santa Rosa, NM 88435-2559
Phone: (575) 472-4311
Fax: (575) 472-4313
Mailing address
724 Lake Dr
Santa Rosa, NM 88435-2559
Registry dates
- Enumerated
- 2010-05-11
- Last updated
- 2015-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.