MEDICARE: MEGAN LYNNE MILLER MSN, FNP-BC, CPEN

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	363LF0000X	Family Nurse Practitioner	APRN.CNP.025220	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APRN.CNP.025220	OTHER	OH	APRN LICENSE NUMBER

General Provider Information

NPI Number	:	1073166450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN LYNNE MILLER MSN, FNP-BC, CPEN

Provider Business Mailing Address
First Line	:	6681 RIDGE RD
Second Line	:	STE 300
City	:	PARMA
State	:	OH
Zip	:	44129-5705
Country	:	US
Telephone Number	:	440-842-8675
Fax Number	:	440-842-1299

Provider Business Practice Location Address
First Line	:	820 S NORTH ST
Second Line	:
City	:	WASHINGTON COURT HOUSE
State	:	OH
Zip	:	43160-2262
Country	:	US
Telephone Number	:	614-208-6737
Fax Number	:

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

Provider Enumeration Date	:	07/24/2019
Last Update Date	:	04/03/2020

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