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NPI Code Detail

MEDICARE: CHARLI MILLER CPS, CHW

MEDICARE: CHARLI MILLER CPS, CHW
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
1172V00000XCommunity Health WorkerNV

General Provider Information

NPI Number : 1720930456
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLI MILLER CPS, CHW
Provider Business Mailing Address
First Line : 302 E CARSON AVE STE 1031
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5909
Country : US
Telephone Number : 775-271-1171
Fax Number :
Provider Business Practice Location Address
First Line : 302 E CARSON AVE STE 89101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5905
Country : US
Telephone Number : 775-271-1171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ CHARLI MILLER CPS, CHW” Practice Location

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