Healthcare Provider Details

I. General information

NPI: 1891534061
Provider Name (Legal Business Name): TERESA KAY MILLER RN, NBC-HWC, DIPABLM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 SHEETZ WAY
CLAYSBURG PA
16625-8346
US

IV. Provider business mailing address

151 ESTATE DR
DUNCANSVILLE PA
16635-6934
US

V. Phone/Fax

Practice location:
  • Phone: 814-239-1516
  • Fax: 814-239-0534
Mailing address:
  • Phone: 814-207-1087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: