Doctor Name: | EILEEN MILLER |
NPI Number: | 1073816526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN-ANP |
License Number: | 278145 |
Business Practice Address: | 6110 Queens Blvd Woodside, NY - 113775776 |
Business Phone Number: | 7183972002 |
Business Fax Number: | |
Mailing Address: | 5852 212th St, BAYSIDE HILLS |
State: | NY |
Postal Code: | 113641822 |
Phone Number: | 7182793306 |
Fax Number: | 7182793306 |
NPI Enumeration Date: | 12/06/2010 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 278145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |