Individual
MICHAEL SCOTT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
106 SUSQUEHANNA AVE, WEST PITTSTON, PA 18643-1709
(570) 239-3887
Mailing address
106 SUSQUEHANNA AVE, WEST PITTSTON, PA 18643-1709
(570) 239-3887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
627833
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
627833
DO NOT HAVE A NUMBER
PA
Enumeration date
04/26/2019
Last updated
04/26/2019
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