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NPI Code Detail

MEDICARE: ANDREW SEAN MILLER RN

MEDICARE:   ANDREW SEAN MILLER  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN.554777OH

General Provider Information

NPI Number : 1184556029
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SEAN MILLER RN
Provider Business Mailing Address
First Line : 2519 SUMMERVILLE DR
Second Line :
City : VALLEY CITY
State : OH
Zip : 44280-9119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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