Individual
CHAD MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 709-8650
Mailing address
715 RICHLAND MALL, ONTARIO, OH 44906-3802
(419) 709-8650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.020129
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.020129
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191230
—
OH
Enumeration date
10/27/2016
Last updated
01/06/2021
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