MEDICARE: MEREDITH MORROW MILLER PMHNP

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	363L00000X	Nurse Practitioner	15590	WI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	15590	WI
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5010683	NC

General Provider Information

NPI Number	:	1700372620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEREDITH MORROW MILLER PMHNP

Provider Business Mailing Address
First Line	:	3 NEENAH CTR
Second Line	:
City	:	NEENAH
State	:	WI
Zip	:	54956-3070
Country	:	US
Telephone Number	:	920-830-5900
Fax Number	:	920-830-5910

Provider Business Practice Location Address
First Line	:	1601 MACKEREL LN
Second Line	:
City	:	CAROLINA BEACH
State	:	NC
Zip	:	28428-5706
Country	:	US
Telephone Number	:	920-810-1122
Fax Number	:

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

Provider Enumeration Date	:	07/03/2018
Last Update Date	:	12/02/2025

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