Individual
TARA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
738 MERCER ST, PRINCETON, WV 24740-3114
(304) 982-4464
Mailing address
428 DIVISION ST, SHADY SPRING, WV 25918-8448
(304) 982-4464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122220
WV
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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