Provider Demographics
NPI:1467722926
Name:MILLER, ASHLEIGH BETH (RN)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:BETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:BETH
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3095 SHIAWASSEE SHORES DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-1353
Mailing Address - Country:US
Mailing Address - Phone:810-287-3577
Mailing Address - Fax:
Practice Address - Street 1:3095 SHIAWASSEE SHORES DR
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MI
Practice Address - Zip Code:48430-1353
Practice Address - Country:US
Practice Address - Phone:810-287-3577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704253450163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care