Healthcare Provider Details

I. General information

NPI: 1982569083
Provider Name (Legal Business Name): HEATHER MILLER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 9TH ST NW
CEDAR RAPIDS IA
52405-2710
US

IV. Provider business mailing address

716 9TH ST NW
CEDAR RAPIDS IA
52405-2710
US

V. Phone/Fax

Practice location:
  • Phone: 319-259-3481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: