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NPI Code Detail

MEDICARE: CATHERINE ANN MILLER APRN, CNP

MEDICARE: CATHERINE ANN MILLER APRN, CNP
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse SpecialistAPRN.CNP.0033907OH

General Provider Information

NPI Number : 1972295038
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ANN MILLER APRN, CNP
Provider Business Mailing Address
First Line : 220 S BREIEL BLVD
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-5106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 632 WAGNER AVE
Second Line :
City : GREENVILLE
State : OH
Zip : 45331-2649
Country : US
Telephone Number : 937-365-2275
Fax Number : 937-459-4568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 07/10/2023

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