Individual
ANGELA DAWN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
611 2ND ST, MARIETTA, OH 45750-2123
(740) 373-8756
(740) 373-0091
Mailing address
611 2ND ST, MARIETTA, OH 45750-2123
(740) 373-8756
(740) 373-0091
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
45787
WV
363LF0000X
Family Nurse Practitioner
Primary
NP07364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2552929
—
OH
05
—
7103074000
—
WV
Enumeration date
05/27/2005
Last updated
02/13/2023
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