| Doctor Name: | MRS. STEPHANIE SELENA MILLER |
| NPI Number: | 1659635167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 58804 |
| Business Practice Address: | 422 S Main St Moorefield, WV - 268361238 |
| Business Phone Number: | 3045382231 |
| Business Fax Number: | |
| Mailing Address: | 73 Miller Ln, FISHER |
| State: | WV |
| Postal Code: | 268184241 |
| Phone Number: | 3044343006 |
| Fax Number: | |
| NPI Enumeration Date: | 06/28/2012 |
| NPI Last Update Date: | 06/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 58804 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |