Provider Demographics
NPI:1497288963
Name:MILLER, FRANCES
Entity Type:Individual
Prefix:
First Name:FRANCES
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 1:81 TAGHKANIC CHURCHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CRARYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12521-5227
Mailing Address - Country:US
Mailing Address - Phone:518-708-4158
Mailing Address - Fax:
Practice Address - Street 1:81 TAGHKANIC CHURCHTOWN RD
Practice Address - Street 2:
Practice Address - City:CRARYVILLE
Practice Address - State:NY
Practice Address - Zip Code:12521-5227
Practice Address - Country:US
Practice Address - Phone:518-708-4158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270508164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse