Healthcare Provider Details

I. General information

NPI: 1871497610
Provider Name (Legal Business Name): MARGARET MILLER RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9003 E SHEA BLVD
SCOTTSDALE AZ
85260-6709
US

IV. Provider business mailing address

9550 E THUNDERBIRD RD UNIT 202
SCOTTSDALE AZ
85260-3773
US

V. Phone/Fax

Practice location:
  • Phone: 480-323-3000
  • Fax:
Mailing address:
  • Phone: 480-845-4112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86391896
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: