Healthcare Provider Details

I. General information

NPI: 1124532445
Provider Name (Legal Business Name): BRITTANY LYNN MILLER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2017
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29055 CLEMENS RD STE A
WESTLAKE OH
44145-1135
US

IV. Provider business mailing address

25700 SCIENCE PARK DR STE 210
BEACHWOOD OH
44122-7328
US

V. Phone/Fax

Practice location:
  • Phone: 216-450-1613
  • Fax: 216-450-1614
Mailing address:
  • Phone: 216-450-1613
  • Fax: 216-450-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.022041
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: