MEDICARE: VICTORIA MILLER NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F404077	NY

General Provider Information

NPI Number	:	1952024911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA MILLER NP

Provider Business Mailing Address
First Line	:	2455 3RD AVE APT 6E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-2561
Country	:	US
Telephone Number	:	386-333-0363
Fax Number	:	917-525-5378

Provider Business Practice Location Address
First Line	:	2455 3RD AVE APT 6E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-2561
Country	:	US
Telephone Number	:	386-333-0363
Fax Number	:	917-525-5378

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

Provider Enumeration Date	:	09/23/2022
Last Update Date	:	08/20/2025

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