Healthcare Provider Details

I. General information

NPI: 1144169939
Provider Name (Legal Business Name): NATALIE ANN MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6523 HARRODS VIEW CIR
PROSPECT KY
40059-9387
US

IV. Provider business mailing address

6523 HARRODS VIEW CIR
PROSPECT KY
40059-9387
US

V. Phone/Fax

Practice location:
  • Phone: 502-819-6846
  • Fax:
Mailing address:
  • Phone: 502-819-6846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025687
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: