Provider Demographics
NPI:1194007302
Name:MILLER, EMILY ELIZABETH (LPN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ELIZABETH
Other - Last Name:HAMMAMI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:519 CRAWLEY RUN
Mailing Address - Street 2:APT 208
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-6397
Mailing Address - Country:US
Mailing Address - Phone:513-884-5179
Mailing Address - Fax:
Practice Address - Street 1:519 CRAWLEY RUN
Practice Address - Street 2:APT 208
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45458-6397
Practice Address - Country:US
Practice Address - Phone:513-884-5179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.129318-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse