Doctor Name: | ELIZABETH ANN MILLER |
NPI Number: | 1184684144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | TP005378B |
Business Practice Address: | 1830 Good Hope Rd Enola, PA - 170251233 |
Business Phone Number: | 7177328877 |
Business Fax Number: | 7177329241 |
Mailing Address: | 3 Walnut St, Suite 206 LEMOYNE |
State: | PA |
Postal Code: | 170431168 |
Phone Number: | 7177610208 |
Fax Number: | 7177612023 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | TP005378B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |