MEDICARE: OLIVIA CATHERINE MILLER PA-C

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	363A00000X	Physician Assistant	MA066397	PA

General Provider Information

NPI Number	:	1871300657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA CATHERINE MILLER PA-C

Provider Business Mailing Address
First Line	:	3420 FORBES AVE FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3203
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3420 FORBES AVE FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3203
Country	:	US
Telephone Number	:	610-639-1612
Fax Number	:

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

Provider Enumeration Date	:	12/16/2024
Last Update Date	:	02/05/2025

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