Healthcare Provider Details

I. General information

NPI: 1093132599
Provider Name (Legal Business Name): NANCY MILLER CTRS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 ALTON ST
CANTON MI
48187-4228
US

IV. Provider business mailing address

8340 ALTON ST
CANTON MI
48187-4228
US

V. Phone/Fax

Practice location:
  • Phone: 734-679-6647
  • Fax:
Mailing address:
  • Phone: 734-679-6647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: