Individual
MATTHEW SHAYNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8487
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8487
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1268
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
APRNCRNA13371
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067440
—
OH
05
—
AN0895
—
SC
Enumeration date
05/17/2006
Last updated
04/02/2024
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