Provider Demographics
NPI:1730312927
Name:MILLERS, NORMA ELAINE (RN)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:ELAINE
Last Name:MILLERS
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 1:314 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-3421
Mailing Address - Country:US
Mailing Address - Phone:914-663-7276
Mailing Address - Fax:
Practice Address - Street 1:314 E LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-3421
Practice Address - Country:US
Practice Address - Phone:914-663-7276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY445939-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health