Provider Demographics
NPI:1952068421
Name:MILLER, MELIEA BROWN (NP)
Entity Type:Individual
Prefix:MRS
First Name:MELIEA
Middle Name:BROWN
Last Name:MILLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 171
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03244-0171
Mailing Address - Country:US
Mailing Address - Phone:704-860-0720
Mailing Address - Fax:
Practice Address - Street 1:12 ELM ST
Practice Address - Street 2:
Practice Address - City:ANTRIM
Practice Address - State:NH
Practice Address - Zip Code:03440-3916
Practice Address - Country:US
Practice Address - Phone:603-588-4200
Practice Address - Fax:603-371-1901
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH082519-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily