Provider Demographics
NPI:1346401965
Name:MILLER, ASHLEY NOELLE (FNP)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:NOELLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:166 STONERIDGE DRIVE
Mailing Address - Street 2:SOUTH CAROLINA ONCOLOGY ASSOCIATES, PA
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29045
Mailing Address - Country:US
Mailing Address - Phone:803-461-3000
Mailing Address - Fax:803-461-4914
Practice Address - Street 1:166 STONERIDGE DRIVE
Practice Address - Street 2:SOUTH CAROLINA ONCOLOGY ASSOCIATES, PA
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29045
Practice Address - Country:US
Practice Address - Phone:803-461-3000
Practice Address - Fax:803-461-4914
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3563363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily