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Organization
MILLER MEDICAL LLC
Active
Organization
MILLER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY MILLER (CNO)
(740) 637-8038
Entity
Organization
Contact information
Practice address
330 21ST ST, ASHLAND, KY 41101-7726
(606) 325-6493
Mailing address
212 SILVERADO DR, NAPLES, FL 34119-4614
(740) 637-8038
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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