Healthcare Provider Details

I. General information

NPI: 1134428196
Provider Name (Legal Business Name): ROBIN LYNN MILLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MCGREGOR ST
MANCHESTER NH
03102-3730
US

IV. Provider business mailing address

380 LAFAYETTE RD
HAMPTON NH
03842-2222
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-6472
  • Fax: 603-926-2853
Mailing address:
  • Phone: 603-925-0088
  • Fax: 603-926-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0815
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: