Individual ProviderPamela S MillerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address10833 Leconte Avenue, Los Angeles, CA 90095(310) 267-0844PECOS EnrollmentBased on the most recent information from CMS, provider Pamela S 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 11 days ago.Profile DetailsProvider ID1730378696Provider TypeIndividualFull NameMiller, Pamela STitleMs.CredentialMSN NPGenderFemaleSole ProprietorNoEnumeration Date10/17/2007Last Updated10/17/2007Contact InformationPractice LocationPractice Address10833 Leconte Avenue, Los Angeles, CA 90095Phone(310) 267-0844Fax(310) 267-4257Mailing LocationMailing Address10880 Wilshire Boulevard, Suite 860, Los Angeles, CA 90095-7338Phone(310) 267-0844Fax(310) 267-4257Provider TaxonomiesCodeDescriptionLicenseCode363LA2100XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense15169California