Healthcare Provider Details

I. General information

NPI: 1023748639
Provider Name (Legal Business Name): CHERYL LEAH MILLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL L. MILLER FNP-C

II. Dates (important events)

Enumeration Date: 06/15/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 E SPRINGBROOK RD
BROADWAY VA
22815-9526
US

IV. Provider business mailing address

173 E SPRINGBROOK RD
BROADWAY VA
22815-9526
US

V. Phone/Fax

Practice location:
  • Phone: 540-901-7028
  • Fax:
Mailing address:
  • Phone: 540-901-7028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number0024184482
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024184482
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024184482
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: