Healthcare Provider Details

I. General information

NPI: 1831900125
Provider Name (Legal Business Name): ZARA RACHEL MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

567 N 5TH ST
TERRE HAUTE IN
47809-1903
US

IV. Provider business mailing address

2415 N 11TH ST
TERRE HAUTE IN
47804-2320
US

V. Phone/Fax

Practice location:
  • Phone: 812-237-3883
  • Fax:
Mailing address:
  • Phone: 941-320-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: