Provider Demographics
NPI:1790783314
Name:MILLER, BARBARA (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:MILLER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 STATE ROUTE 522
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-8540
Mailing Address - Country:US
Mailing Address - Phone:740-574-4804
Mailing Address - Fax:
Practice Address - Street 1:1729 27TH ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2638
Practice Address - Country:US
Practice Address - Phone:740-354-1434
Practice Address - Fax:740-353-8811
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP00176363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSKYKMAM178003621OtherNONE PROVIDED
OHOMA2147162Medicaid
OHMINP00081Medicare ID - Type Unspecified