Provider Demographics
NPI:1578914636
Name:MILLER, NORALAND (CNA)
Entity Type:Individual
Prefix:MISS
First Name:NORALAND
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 GROVE HAMLET WAY
Mailing Address - Street 2:APT C
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-3180
Mailing Address - Country:US
Mailing Address - Phone:386-315-0696
Mailing Address - Fax:
Practice Address - Street 1:970 GROVE HAMLET WAY
Practice Address - Street 2:APT C
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-3180
Practice Address - Country:US
Practice Address - Phone:386-315-0696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA186175376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide