Individual
MS. NANCY LOUISE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM, PA-C
Contact information
Practice address
314 W STATE ST, ITHACA, NY 14850-5432
(607) 273-1513
(607) 273-8776
Mailing address
501 MIDLINE RD, FREEVILLE, NY 13068-5625
(607) 539-7733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002047-1
NY
367A00000X
Advanced Practice Midwife
Primary
000477
NY
Other
Enumeration date
12/18/2008
Last updated
11/23/2011
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