MEDICARE: NATHAN MILLER

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1023743622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN MILLER

Provider Business Mailing Address
First Line	:	158 NEZINSCOT DR
Second Line	:
City	:	TURNER
State	:	ME
Zip	:	04282-4336
Country	:	US
Telephone Number	:	207-689-5362
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 PARK ST STE 201
Second Line	:
City	:	LEWISTON
State	:	ME
Zip	:	04240-7282
Country	:	US
Telephone Number	:	207-689-5362
Fax Number	:

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

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	02/05/2026

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Directions to “ NATHAN MILLER ” Practice Location

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