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NPI Code Detail

MEDICARE: MADELYN NICOLE MILLER

MEDICARE:   MADELYN NICOLE MILLER
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
1101YM0800XMental Health CounselorWI

General Provider Information

NPI Number : 1497687719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN NICOLE MILLER
Provider Business Mailing Address
First Line : 2727 N MARYLAND AVE APT 203
Second Line :
City : MILWAUKEE
State : WI
Zip : 53211-3739
Country : US
Telephone Number : 608-330-1319
Fax Number :
Provider Business Practice Location Address
First Line : W156N8327 PILGRIM RD STE 302
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3776
Country : US
Telephone Number : 262-251-1112
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ MADELYN NICOLE MILLER ” Practice Location

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