Provider Demographics
NPI:1225587223
Name:MILLER, EMILY PAIGE (RN)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:PAIGE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:EMILY
Other - Middle Name:PAIGE
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1701 TOWNE CROSSING BLVD
Mailing Address - Street 2:APT 1333
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-3975
Mailing Address - Country:US
Mailing Address - Phone:601-498-5383
Mailing Address - Fax:
Practice Address - Street 1:1802 HIGHWAY 157 N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-3923
Practice Address - Country:US
Practice Address - Phone:817-473-6101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-02
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX865424163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse