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NPI Code Detail

MEDICARE: CHRISTINA MARIE MILLER LPN

MEDICARE: CHRISTINA MARIE MILLER LPN
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
1164W00000XLicensed Practical Nurse093366OH

General Provider Information

NPI Number : 1699284331
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE MILLER LPN
Provider Business Mailing Address
First Line : 514 N ASHWOOD LN
Second Line :
City : PAINESVILLE
State : OH
Zip : 44077-6158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 25101 CHAGRIN BLVD STE 100
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5694
Country : US
Telephone Number : 216-831-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/26/2017

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Directions to “ CHRISTINA MARIE MILLER LPN” Practice Location

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