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NPI Code Detail

MEDICARE: MICHELLE R MILLER APRN

MEDICARE:   MICHELLE R MILLER  APRN
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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.13171OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700154846
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE R MILLER APRN
Provider Business Mailing Address
First Line : 1 PRESTIGE PL STE 550
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-6115
Country : US
Telephone Number : 937-762-1306
Fax Number : 937-522-7017
Provider Business Practice Location Address
First Line : 7700 WASHINGTON VILLAGE DR STE 120
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-4071
Country : US
Telephone Number : 937-425-4144
Fax Number : 937-425-4146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2011
Last Update Date : 06/11/2026

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