| Doctor Name: | BETHANY LUCIANI MILLER |
| NPI Number: | 1639111891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 1434 |
| Business Practice Address: | 80 Norwich New London Tpke Uncasville, CT - 063822527 |
| Business Phone Number: | 8608481297 |
| Business Fax Number: | 8608489875 |
| Mailing Address: | 80 Norwich New London Tpke, UNCASVILLE |
| State: | CT |
| Postal Code: | 063822527 |
| Phone Number: | 8608481297 |
| Fax Number: | 8608489875 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 11/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 1434 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |