MEDICARE: MS. CONNIE J 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1073108031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CONNIE J MILLER

Provider Business Mailing Address
First Line	:	2611 N MAIN ST APT 1
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-4084
Country	:	US
Telephone Number	:	419-957-4005
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 N MAIN ST APT 1
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-4084
Country	:	US
Telephone Number	:	419-957-4005
Fax Number	:

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

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	01/04/2026

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Directions to “ MS. CONNIE J MILLER ” Practice Location

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