Healthcare Provider Details

I. General information

NPI: 1326724824
Provider Name (Legal Business Name): CHRISTINA MARIA MILLER DNP, CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 EXECUTIVE DR STE 200
NEW WINDSOR NY
12553-5544
US

IV. Provider business mailing address

121 EXECUTIVE DR STE 200
NEW WINDSOR NY
12553-5544
US

V. Phone/Fax

Practice location:
  • Phone: 845-407-0770
  • Fax: 845-407-0660
Mailing address:
  • Phone: 845-407-0770
  • Fax: 845-407-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP027772
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF351886
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: