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NPI Code Detail

MEDICARE: SUSAN MARIE MILLER RN

MEDICARE:   SUSAN MARIE 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 NurseRN587635PA
2367500000XCertified Registered Nurse Anesthetist92113PA

General Provider Information

NPI Number : 1659625200
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN MARIE MILLER RN
Provider Business Mailing Address
First Line : 108 KAITLIN PL
Second Line :
City : FREEDOM
State : PA
Zip : 15042-2800
Country : US
Telephone Number : 412-477-2007
Fax Number :
Provider Business Practice Location Address
First Line : 1501 REEDSDALE ST
Second Line : SUITE 4004
City : PITTSBURGH
State : PA
Zip : 15233-2341
Country : US
Telephone Number : 412-204-0048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2012
Last Update Date : 03/05/2021

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