Individual
CAROL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
1280 SNIDER RD, NEW CARLISLE, OH 45344-8200
(937) 882-6012
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21155784
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2212573
—
OH
Enumeration date
06/24/2005
Last updated
04/03/2008
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