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NPI Code Detail

MEDICARE: ILANA MELISSA MILLER MS, CGC

MEDICARE: ILANA MELISSA MILLER MS, CGC
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
1170300000XGenetic Counselor (M.S.)CO

General Provider Information

NPI Number : 1730783739
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILANA MELISSA MILLER MS, CGC
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13123 E 16TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-7106
Country : US
Telephone Number : 720-777-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2020
Last Update Date : 03/02/2026

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