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NPI Code Detail

MEDICARE: MRS. MICHELLE RENEE MILLER FNP

MEDICARE: MRS. MICHELLE RENEE MILLER FNP
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
1363LF0000XFamily Nurse Practitioner0027780OH

General Provider Information

NPI Number : 1629733787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE RENEE MILLER FNP
Provider Business Mailing Address
First Line : 6480 ROCKSIDE WOODS BLVD S STE 330
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2222
Country : US
Telephone Number : 937-329-9358
Fax Number : 216-238-9526
Provider Business Practice Location Address
First Line : 6480 ROCKSIDE WOODS BLVD S STE 330
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-2222
Country : US
Telephone Number : 937-329-9358
Fax Number : 216-238-9526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2021
Last Update Date : 03/02/2026

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Directions to “ MRS. MICHELLE RENEE MILLER FNP” Practice Location

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