Healthcare Provider Details

I. General information

NPI: 1003374000
Provider Name (Legal Business Name): ONDREA MARIE MILLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 MOSAIC BLVD STE 100
PITTSBORO NC
27312-4945
US

IV. Provider business mailing address

51 MOSAIC BLVD STE 100
PITTSBORO NC
27312-4945
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-6766
  • Fax: 984-215-6768
Mailing address:
  • Phone: 984-215-6766
  • Fax: 984-215-6768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017030
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number343964
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: