Provider Demographics
NPI:1891348132
Name:MILLER, AVA LYN
Entity Type:Individual
Prefix:
First Name:AVA
Middle Name:LYN
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 1:2550 THURMONT RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-5357
Mailing Address - Country:US
Mailing Address - Phone:330-414-1064
Mailing Address - Fax:
Practice Address - Street 1:2550 THURMONT RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5357
Practice Address - Country:US
Practice Address - Phone:330-414-1064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care