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NPI Code Detail

MEDICARE: TRICIA MARIE MILLER STNA

MEDICARE:   TRICIA MARIE MILLER  STNA
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
1374U00000XHome Health Aide501068500106OH

General Provider Information

NPI Number : 1992196976
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA MARIE MILLER STNA
Provider Business Mailing Address
First Line : 8853 JUSTUS AVE SW
Second Line :
City : BEACH CITY
State : OH
Zip : 44608-9730
Country : US
Telephone Number : 330-874-2796
Fax Number :
Provider Business Practice Location Address
First Line : 8853 JUSTUS AVE SW
Second Line :
City : BEACH CITY
State : OH
Zip : 44608-9730
Country : US
Telephone Number : 330-874-2796
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2015
Last Update Date : 02/11/2015

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Directions to “ TRICIA MARIE MILLER STNA” Practice Location

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