MEDICARE: CYNTHIA MILLER NP IN PSYCHIATRY

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1710674882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CYNTHIA MILLER NP IN PSYCHIATRY

Provider Business Mailing Address
First Line	:	17 LIMESTONE DR STE 5
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8601
Country	:	US
Telephone Number	:	716-458-0031
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 LIMESTONE DR STE 5
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8601
Country	:	US
Telephone Number	:	716-458-0031
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA SUSAN MILLER
Credential	:	PMHNP
Telephone Number	:	716-458-0031

Provider Enumeration Date	:	04/19/2023
Last Update Date	:	04/20/2026

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