Provider Demographics
NPI:1003007592
Name:MILLER, CAROLYN KARAFIATH (PA-C)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:KARAFIATH
Last Name:MILLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CAROLYN
Other - Middle Name:ANN
Other - Last Name:KARAFIATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:81 CLARION RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSONBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15845-1656
Mailing Address - Country:US
Mailing Address - Phone:814-389-4411
Mailing Address - Fax:814-389-4142
Practice Address - Street 1:81 CLARION RD
Practice Address - Street 2:
Practice Address - City:JOHNSONBURG
Practice Address - State:PA
Practice Address - Zip Code:15845-1656
Practice Address - Country:US
Practice Address - Phone:814-389-4411
Practice Address - Fax:814-389-4142
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052977363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant