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NPI Code Detail

MEDICARE: DONNA MARIE MILLER RN MSN M.ED

MEDICARE: DONNA MARIE MILLER RN MSN M.ED
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
1364SA2100XAcute Care Clinical Nurse SpecialistRN168259OH

General Provider Information

NPI Number : 1659702892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA MARIE MILLER RN MSN M.ED
Provider Business Mailing Address
First Line : 10443 MAYFIELD RD
Second Line :
City : CHESTERLAND
State : OH
Zip : 44026-2733
Country : US
Telephone Number : 440-285-5067
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 : 12/12/2013
Last Update Date : 12/12/2013

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