| Doctor Name: | MS. DEANNA RAE MILLER |
| NPI Number: | 1558598227 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RCP,CPT 2, M.A., CNA |
| License Number: | |
| Business Practice Address: | 6712 Cito Rd Mc Connellsburg, PA - 172338716 |
| Business Phone Number: | 6317645432 |
| Business Fax Number: | 2679357602 |
| Mailing Address: | 6712 Cito Rd, MC CONNELLSBURG |
| State: | PA |
| Postal Code: | 172338716 |
| Phone Number: | 6317645432 |
| Fax Number: | 2679357602 |
| NPI Enumeration Date: | 06/19/2009 |
| NPI Last Update Date: | 11/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |