Individual ProviderTami J MillerNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3998 Fair Ridge Dr, Fairfax, VA 22033-2907(804) 289-4937PECOS EnrollmentBased on the most recent information from CMS, provider Tami J Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1689675696Provider TypeIndividualFull NameMiller, Tami JCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date8/2/2005Last Updated10/6/2014Contact InformationPractice LocationPractice Address3998 Fair Ridge Dr, Fairfax, VA 22033-2907Phone(804) 289-4937Fax(804) 565-6600Mailing LocationMailing AddressPO Box 37090, Baltimore, MD 21297-3090Phone(804) 289-4937FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024166466VirginiaProvider IdentifiersIDDescriptionIssuerID1689675696DescriptionMedicaidIssuerUnlistedVirginia