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NPI Code Detail

MEDICARE: ANTIONETTE MILLER

MEDICARE:   ANTIONETTE  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
1374U00000XHome Health Aide25-018796-1IN

General Provider Information

NPI Number : 1689540726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTIONETTE MILLER
Provider Business Mailing Address
First Line : 2141 N FRANKLIN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2435
Country : US
Telephone Number : 317-525-7808
Fax Number :
Provider Business Practice Location Address
First Line : 2141 N FRANKLIN RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2435
Country : US
Telephone Number : 317-525-7808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2025
Last Update Date : 10/15/2025

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Directions to “ ANTIONETTE MILLER ” Practice Location

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