Healthcare Provider Details

I. General information

NPI: 1841153327
Provider Name (Legal Business Name): CAREY MILLER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16700 N THOMPSON PEAK PKWY STE 130
SCOTTSDALE AZ
85260-2384
US

IV. Provider business mailing address

3753 E ANDORA DR
PHOENIX AZ
85032-6611
US

V. Phone/Fax

Practice location:
  • Phone: 480-454-4490
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN206226
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: