Healthcare Provider Details

I. General information

NPI: 1902875933
Provider Name (Legal Business Name): LINDA WEBBER MILLER MSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 ASHBY RD
PAOLI PA
19301
US

IV. Provider business mailing address

1521 ASHBY RD
PAOLI PA
19301
US

V. Phone/Fax

Practice location:
  • Phone: 610-296-0808
  • Fax: 610-296-0808
Mailing address:
  • Phone: 610-296-0808
  • Fax: 610-296-0808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN147315L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: