Provider Demographics
NPI:1437913514
Name:MILLER, ARIELLE J
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:J
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 REX AVE APT 129
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64801-5930
Mailing Address - Country:US
Mailing Address - Phone:417-438-0010
Mailing Address - Fax:
Practice Address - Street 1:593 S HORSEBARN RD
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8795
Practice Address - Country:US
Practice Address - Phone:479-271-9191
Practice Address - Fax:479-271-9196
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024005314363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily