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NPI Code Detail

MEDICARE: MRS. KATRINA MILLER

MEDICARE: MRS. KATRINA MILLER
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
1253Z00000XIn Home Supportive Care AgencyOH

General Provider Information

NPI Number : 1659149748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATRINA MILLER
Provider Business Mailing Address
First Line : 2836 NACOMA PL
Second Line :
City : DAYTON
State : OH
Zip : 45420-3841
Country : US
Telephone Number : 513-578-1940
Fax Number :
Provider Business Practice Location Address
First Line : 2836 NACOMA PL
Second Line :
City : DAYTON
State : OH
Zip : 45420-3841
Country : US
Telephone Number : 513-578-1940
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2023
Last Update Date : 12/18/2023

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Directions to “ MRS. KATRINA MILLER ” Practice Location

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