Individual
TONYA K MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 ORTHOPEDIC WAY, MORGANTOWN, WV 26505-1240
(304) 599-0720
(304) 599-3962
Mailing address
200 ORTHOPEDIC WAY, MORGANTOWN, WV 26505-1240
(304) 599-0720
(304) 599-3962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
49659
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001914010
BLUE CROSS
WV
05
—
3810006889
—
WV
Enumeration date
07/19/2006
Last updated
11/07/2016
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