Provider Demographics
NPI:1518540475
Name:MILLER, AMELIA M (RN)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8258 STATE ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:DELPHOS
Mailing Address - State:OH
Mailing Address - Zip Code:45833-9528
Mailing Address - Country:US
Mailing Address - Phone:419-863-0045
Mailing Address - Fax:
Practice Address - Street 1:8258 STATE ROUTE 66
Practice Address - Street 2:
Practice Address - City:DELPHOS
Practice Address - State:OH
Practice Address - Zip Code:45833-9528
Practice Address - Country:US
Practice Address - Phone:419-863-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.179976163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health