Provider Demographics
NPI:1477237899
Name:MILLER, AMBER LYNNETTE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNNETTE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2039 STANFORD ST
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-2072
Mailing Address - Country:US
Mailing Address - Phone:216-688-7029
Mailing Address - Fax:
Practice Address - Street 1:2039 STANFORD ST
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-2072
Practice Address - Country:US
Practice Address - Phone:216-688-7029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health