MEDICARE: MS. TRISHA CATHERINE MILLER RNC CNP NNP

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
1	282NC2000X	Children's Hospital	NP-09463	OH
2	363LN0005X	Critical Care Neonatal Nurse Practitioner	APRN.CNP.09463	OH

General Provider Information

NPI Number	:	1285834374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRISHA CATHERINE MILLER RNC CNP NNP

Provider Business Mailing Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-1922
Fax Number	:	216-844-1920

Provider Business Practice Location Address
First Line	:	11100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-1716
Country	:	US
Telephone Number	:	216-844-1922
Fax Number	:	216-844-5629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	02/12/2022

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