Provider Demographics
NPI:1497790992
Name:MILLER, CYNTHIA H (FNP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:H
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:KOVACS-WHALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 331524
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-1524
Mailing Address - Country:US
Mailing Address - Phone:615-569-8636
Mailing Address - Fax:615-410-2100
Practice Address - Street 1:745 S CHURCH ST STE 303
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4963
Practice Address - Country:US
Practice Address - Phone:615-569-8636
Practice Address - Fax:615-410-2100
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2020-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 7253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514698Medicaid
TN103I809569Medicare PIN