Provider Demographics
NPI:1427413228
Name:MILLER, SHERI LYNN (CNP)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 S BREDEICK ST
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-3203
Mailing Address - Country:US
Mailing Address - Phone:419-692-2502
Mailing Address - Fax:419-228-6700
Practice Address - Street 1:375 N EASTOWN RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45807-2214
Practice Address - Country:US
Practice Address - Phone:419-228-3500
Practice Address - Fax:419-228-6700
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.18525-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner