Healthcare Provider Details

I. General information

NPI: 1952024911
Provider Name (Legal Business Name): VICTORIA MILLER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 3RD AVE APT 6E
BRONX NY
10451-2561
US

IV. Provider business mailing address

2455 3RD AVE APT 6E
BRONX NY
10451-2561
US

V. Phone/Fax

Practice location:
  • Phone: 386-333-0363
  • Fax: 917-525-5378
Mailing address:
  • Phone: 386-333-0363
  • Fax: 917-525-5378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF404077
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: