| Doctor Name: | SEAN PHILLIP MILLER |
| NPI Number: | 1821444134 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RN-286393 |
| Business Practice Address: | 115 Private Dr. 977 Pedro, OH - 456590006 |
| Business Phone Number: | 7405341386 |
| Business Fax Number: | |
| Mailing Address: | Po Box 6, PEDRO |
| State: | OH |
| Postal Code: | 456590006 |
| Phone Number: | 7405341386 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2016 |
| NPI Last Update Date: | 05/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0807X |
| License Number: | RN-286393 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |