MEDICARE: LATANYA 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
1	163WI0500X	Infusion Therapy Registered Nurse	22079515	NC
2	253Z00000X	In Home Supportive Care Agency		NC
3	374U00000X	Home Health Aide	253Z00000X	NC

General Provider Information

NPI Number	:	1912850058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATANYA MILLER

Provider Business Mailing Address
First Line	:	18 PURPLE STOKES CT
Second Line	:
City	:	BENSON
State	:	NC
Zip	:	27504-5003
Country	:	US
Telephone Number	:	919-480-3410
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 PURPLE STOKES CT
Second Line	:
City	:	BENSON
State	:	NC
Zip	:	27504-5003
Country	:	US
Telephone Number	:	919-480-3410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ LATANYA MILLER ” Practice Location

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