Provider Demographics
NPI:1285834374
Name:MILLER, TRISHA CATHERINE (RNC CNP NNP)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:CATHERINE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RNC CNP NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-1922
Mailing Address - Fax:216-844-1920
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-1922
Practice Address - Fax:216-844-5629
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2022-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-09463282NC2000X
OHAPRN.CNP.09463363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No282NC2000XHospitalsGeneral Acute Care HospitalChildren