Provider Demographics
NPI:1679887475
Name:MILLER, LAUREL FRANCES (MSN, CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:FRANCES
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSN, CNM, WHNP
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:FRANCES
Other - Last Name:WOLFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 BANNING ST STE 320
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3488
Mailing Address - Country:US
Mailing Address - Phone:302-674-0223
Mailing Address - Fax:302-674-0109
Practice Address - Street 1:200 BANNING ST STE 320
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3488
Practice Address - Country:US
Practice Address - Phone:302-674-0223
Practice Address - Fax:302-674-0109
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELK-0000159367A00000X
NC274376363LW0102X
PAMW010221367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1679887475Medicaid
NCNCN181AMedicare PIN