Provider Demographics
NPI:1164651402
Name:MILLER, BARBARA A (NC, MH, HHP, CHS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:MILLER
Suffix:
Gender:F
Credentials:NC, MH, HHP, CHS
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:HOLDEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2301 N WAVERLY ST
Mailing Address - Street 2:BLDG #6
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-1168
Mailing Address - Country:US
Mailing Address - Phone:580-762-3125
Mailing Address - Fax:580-762-3104
Practice Address - Street 1:2301 N WAVERLY ST
Practice Address - Street 2:BLDG #6
Practice Address - City:PONCA CITY
Practice Address - State:OK
Practice Address - Zip Code:74601-1168
Practice Address - Country:US
Practice Address - Phone:580-762-3125
Practice Address - Fax:580-762-3104
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist