Doctor Name: | MISS EDITH DORAN MILLER |
NPI Number: | 1013282649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHN |
License Number: | 297187-1 |
Business Practice Address: | 417 Liberty St Penn Yan, NY - 145271100 |
Business Phone Number: | 3155365160 |
Business Fax Number: | |
Mailing Address: | 417 Liberty St, PENN YAN |
State: | NY |
Postal Code: | 145271100 |
Phone Number: | 3155365160 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 297187-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |