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NPI Code Detail

MEDICARE: EILEEN MARGARET MILLER NURSE PRACTITIONER

MEDICARE: EILEEN MARGARET MILLER NURSE PRACTITIONER
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
1363L00000XNurse Practitioner13783-NPOH

General Provider Information

NPI Number : 1487906905
Entity Type Code : Individual
Provider Name (Legal Business Name) : EILEEN MARGARET MILLER NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 7338 COOK FARM DR
Second Line :
City : REYNOLDSBURG
State : OH
Zip : 43068-7074
Country : US
Telephone Number : 419-252-6018
Fax Number : 800-564-5952
Provider Business Practice Location Address
First Line : 1060 EASTWIND DRIVE
Second Line : HEARTLAND CARE PARTNERS
City : WESTERVILLE
State : OH
Zip : 43081-3331
Country : US
Telephone Number : 800-427-1902
Fax Number : 800-564-5952
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2012
Last Update Date : 09/25/2015

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