MEDICARE: CAPITAL REGION NP CONSULTING IN FAMILY BUSINESS

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	163W00000X	Registered Nurse
2	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1194652834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL REGION NP CONSULTING IN FAMILY BUSINESS

Provider Business Mailing Address
First Line	:	12 WHITNEY RD S
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-9635
Country	:	US
Telephone Number	:	518-221-6694
Fax Number	:	518-691-9302

Provider Business Practice Location Address
First Line	:	12 WHITNEY RD S
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-9635
Country	:	US
Telephone Number	:	518-221-6694
Fax Number	:	518-691-9302

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. DIANA MARIE MILLER
Credential	:	FNP-BC
Telephone Number	:	518-221-6694

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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