MEDICARE: MRS. TIWANA L. MILLER PA-C

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	363A00000X	Physician Assistant	C5-0000682	DE

General Provider Information

NPI Number	:	1649500760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TIWANA L. MILLER PA-C

Provider Business Mailing Address
First Line	:	PO BOX 931
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-0931
Country	:	US
Telephone Number	:	302-276-8228
Fax Number	:	302-838-0696

Provider Business Practice Location Address
First Line	:	PO BOX 931
Second Line	:
City	:	BEAR
State	:	DE
Zip	:	19701-0931
Country	:	US
Telephone Number	:	302-276-8228
Fax Number	:	302-838-0696

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

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	05/20/2026

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