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NPI Code Detail

MEDICARE: CYNTHIA S MILLER NURSE PRACTITIONER

MEDICARE:   CYNTHIA S 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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerF403008-01NY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner403008NY

General Provider Information

NPI Number : 1568753580
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA S MILLER NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 8880 CANDLEWOOD LN
Second Line :
City : CLARENCE CENTER
State : NY
Zip : 14032-9717
Country : US
Telephone Number : 716-989-9656
Fax Number :
Provider Business Practice Location Address
First Line : 17 LIMESTONE DR
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-8600
Country : US
Telephone Number : 716-458-0031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 11/06/2023

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Directions to “ CYNTHIA S MILLER NURSE PRACTITIONER” Practice Location

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