Provider Demographics
NPI:1528040847
Name:MILLER, CYNTHIA JOAN (BSN, MPH, CNM)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:JOAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:BSN, MPH, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1501 N CAMPBELL
Mailing Address - Street 2:8TH FLOOR WOMEN'S CLINIC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724
Mailing Address - Country:US
Mailing Address - Phone:520-694-0957
Mailing Address - Fax:520-694-2892
Practice Address - Street 1:2800 E AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6204
Practice Address - Country:US
Practice Address - Phone:520-807-1333
Practice Address - Fax:520-807-1982
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ053720367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife