Provider Demographics
NPI:1497512669
Name:MILLER, EMILY KAITLIN
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KAITLIN
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 1:4753 ARCHBOARD PL
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-0098
Mailing Address - Country:US
Mailing Address - Phone:813-253-9389
Mailing Address - Fax:
Practice Address - Street 1:4753 ARCHBOARD PL
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-0098
Practice Address - Country:US
Practice Address - Phone:813-253-9389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program