Healthcare Provider Details

I. General information

NPI: 1780517367
Provider Name (Legal Business Name): NINA ELIZABETH MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 UNIVERSITY SQ
ERIE PA
16541-0002
US

IV. Provider business mailing address

2369 FAIRHILL RD
SEWICKLEY PA
15143-9004
US

V. Phone/Fax

Practice location:
  • Phone: 814-871-7000
  • Fax:
Mailing address:
  • Phone: 412-452-5386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: