Provider Demographics
NPI:1891726592
Name:MILLER, ANN CARDER (DO)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:CARDER
Last Name:MILLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:REUTTER
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1420 6TH AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2620
Mailing Address - Country:US
Mailing Address - Phone:717-845-8173
Mailing Address - Fax:717-854-1434
Practice Address - Street 1:55 OLD FARM LN
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1711
Practice Address - Country:US
Practice Address - Phone:717-235-4893
Practice Address - Fax:717-227-0811
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOSO14114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H77937Medicare UPIN