Provider Demographics
NPI:1437525904
Name:MILLER, NATALIE J (CNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:J
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 1:30701 CLEMENS RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1074
Mailing Address - Country:US
Mailing Address - Phone:440-617-1212
Mailing Address - Fax:440-617-1213
Practice Address - Street 1:30701 CLEMENS RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1074
Practice Address - Country:US
Practice Address - Phone:440-617-1212
Practice Address - Fax:440-617-1213
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.17396-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner