MEDICARE: SUNSHINE MILLER CNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	201405025CNA	OR

General Provider Information

NPI Number	:	1003217134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNSHINE MILLER CNA

Provider Business Mailing Address
First Line	:	1488 BARBER DR
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97405-4480
Country	:	US
Telephone Number	:	541-255-7998
Fax Number	:

Provider Business Practice Location Address
First Line	:	530 BIRCH ST
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-1524
Country	:	US
Telephone Number	:	541-998-1837
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2014
Last Update Date	:	09/08/2014

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Directions to “ SUNSHINE MILLER CNA” Practice Location

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