| Doctor Name: | MRS. BERTHA TAYLOR-MILLER |
| NPI Number: | 1285690222 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 201746 |
| Business Practice Address: | 275 Nc 24 50 Hwy Kenansville, NC - 283498933 |
| Business Phone Number: | 9102961087 |
| Business Fax Number: | 9102961086 |
| Mailing Address: | Po Box 148, 275 Nc 24/50 Hwy KENANSVILLE |
| State: | NC |
| Postal Code: | 283490148 |
| Phone Number: | 9102961087 |
| Fax Number: | 9102961086 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 04/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 201746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |