MEDICARE: VICTORIA MILLER FNP-BC

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	363LF0000X	Family Nurse Practitioner	354253	NY

General Provider Information

NPI Number	:	1497599245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA MILLER FNP-BC

Provider Business Mailing Address
First Line	:	4950 STATE HIGHWAY 30
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-7520
Country	:	US
Telephone Number	:	518-841-3770
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 STATE HIGHWAY 30
Second Line	:
City	:	AMSTERDAM
State	:	NY
Zip	:	12010-7520
Country	:	US
Telephone Number	:	518-841-3770
Fax Number	:

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

Provider Enumeration Date	:	06/25/2024
Last Update Date	:	04/11/2026

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