Healthcare Provider Details

I. General information

NPI: 1508736141
Provider Name (Legal Business Name): ROBIN MILLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 OLD RIDGE RD
NEW MILFORD CT
06776-3981
US

IV. Provider business mailing address

115 OLD RIDGE RD
NEW MILFORD CT
06776-3981
US

V. Phone/Fax

Practice location:
  • Phone: 203-274-1734
  • Fax:
Mailing address:
  • Phone: 203-274-1734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number81274
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number774449
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: