Provider Demographics
NPI:1598945271
Name:MILLER, MARGARET JANE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JANE
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 1:3444 FISH AVE
Mailing Address - Street 2:APT 4A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2230
Mailing Address - Country:US
Mailing Address - Phone:347-449-7743
Mailing Address - Fax:
Practice Address - Street 1:3444 FISH AVE
Practice Address - Street 2:APT 4A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2230
Practice Address - Country:US
Practice Address - Phone:347-449-7743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275310164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse