Individual
THERESE M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3311 BROADVIEW RD, CLEVELAND, OH 44109-3315
(216) 661-1545
Mailing address
3500 LORAIN AVE, CLEVELAND, OH 44113-3721
(216) 961-8804
(216) 334-2211
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN217965
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165357
—
OH
Enumeration date
08/03/2006
Last updated
07/08/2007
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