Provider Demographics
NPI:1407563778
Name:MILLER, VANITY
Entity Type:Individual
Prefix:
First Name:VANITY
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 1:5327 NORTHFIELD RD APT 201
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1127
Mailing Address - Country:US
Mailing Address - Phone:334-301-6837
Mailing Address - Fax:
Practice Address - Street 1:5327 NORTHFIELD RD APT 201
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1127
Practice Address - Country:US
Practice Address - Phone:334-301-6837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker