Provider Demographics
NPI:1093132599
Name:MILLER, NANCY (CTRS)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8340 ALTON ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-4228
Mailing Address - Country:US
Mailing Address - Phone:734-679-6647
Mailing Address - Fax:
Practice Address - Street 1:8340 ALTON ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4228
Practice Address - Country:US
Practice Address - Phone:734-679-6647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-21
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist