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NPI Code Detail

MEDICARE: SHANA MILLER

MEDICARE: SHANA 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
1251B00000XCase Management AgencyF25-119739UT

General Provider Information

NPI Number : 1821989609
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANA MILLER
Provider Business Mailing Address
First Line : 1132 E 800 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-3703
Country : US
Telephone Number : 801-352-9811
Fax Number :
Provider Business Practice Location Address
First Line : 12760 S PARK AVE UNIT 520
Second Line :
City : RIVERTON
State : UT
Zip : 84065-3422
Country : US
Telephone Number : 801-382-9811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2025
Last Update Date : 07/10/2025

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Directions to “ SHANA MILLER ” Practice Location

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