Healthcare Provider Details

I. General information

NPI: 1699957530
Provider Name (Legal Business Name): DANIELLE K MILLER DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 N SHERIDAN RD APT 10G
CHICAGO IL
60660-1706
US

IV. Provider business mailing address

6301 N SHERIDAN RD APT 10G
CHICAGO IL
60660-1706
US

V. Phone/Fax

Practice location:
  • Phone: 404-510-2562
  • Fax:
Mailing address:
  • Phone: 404-510-2562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041338673
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number041338673
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number669977
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: