Provider Demographics
NPI:1164644738
Name:MILLER, CATHY ANN
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18022 TOWNSHIP ROAD 428
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:OH
Mailing Address - Zip Code:43821-9617
Mailing Address - Country:US
Mailing Address - Phone:740-327-6054
Mailing Address - Fax:740-327-6054
Practice Address - Street 1:18022 TOWNSHIP ROAD 428
Practice Address - Street 2:
Practice Address - City:DRESDEN
Practice Address - State:OH
Practice Address - Zip Code:43821-9617
Practice Address - Country:US
Practice Address - Phone:740-327-6054
Practice Address - Fax:740-327-6054
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide