Healthcare Provider Details

I. General information

NPI: 1437024353
Provider Name (Legal Business Name): MARGARET MARY MILLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/24/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

615 9TH AVE
SAN MATEO CA
94402-1427
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8725
  • Fax:
Mailing address:
  • Phone: 628-206-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number662265
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: