Provider Demographics
NPI:1326783580
Name:MILLER, CAITLYN SEUL (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:SEUL
Last Name:MILLER
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8298 BRIGANTINE CT APT 71
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-8733
Mailing Address - Country:US
Mailing Address - Phone:513-907-7092
Mailing Address - Fax:
Practice Address - Street 1:7675 WELLNESS WAY STE 201
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2509
Practice Address - Country:US
Practice Address - Phone:513-475-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-02
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP.0030963363LA2100X
OHAPRN.CNP.0030963363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care