Provider Demographics
NPI:1861690125
Name:MILLER, VICKI HOYLER (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:VICKI
Middle Name:HOYLER
Last Name:MILLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1172 W MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-1329
Mailing Address - Country:US
Mailing Address - Phone:570-424-6187
Mailing Address - Fax:570-424-6271
Practice Address - Street 1:1172 W MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-1329
Practice Address - Country:US
Practice Address - Phone:570-424-6187
Practice Address - Fax:570-424-6271
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003764B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily