Provider Demographics
NPI:1235432618
Name:MILLER, CASSANDRA
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:
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 1:5325 CORDGRASS BEND LN
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-3000
Mailing Address - Country:US
Mailing Address - Phone:386-334-7257
Mailing Address - Fax:
Practice Address - Street 1:5325 CORDGRASS BEND LN
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-3000
Practice Address - Country:US
Practice Address - Phone:386-334-7257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula