Healthcare Provider Details

I. General information

NPI: 1164637898
Provider Name (Legal Business Name): THELMA ROSE MILLER NURSE ASSISTANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 12/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S SECTION LINE RD
DELAWARE OH
43015-1351
US

IV. Provider business mailing address

575 S SECTION LINE RD
DELAWARE OH
43015-1351
US

V. Phone/Fax

Practice location:
  • Phone: 740-362-4235
  • Fax:
Mailing address:
  • Phone: 740-362-4235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: