Provider Demographics
NPI:1326728494
Name:MILLER, ELORA MONTANA (DOULA)
Entity Type:Individual
Prefix:
First Name:ELORA
Middle Name:MONTANA
Last Name:MILLER
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1897 LELA LN
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3215
Mailing Address - Country:US
Mailing Address - Phone:423-558-9848
Mailing Address - Fax:
Practice Address - Street 1:1897 LELA LN
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3215
Practice Address - Country:US
Practice Address - Phone:423-558-9848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD85412374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula