Provider Demographics
NPI:1992193775
Name:MILLER, ROBYN
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
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 1:45 ROYAL CREST DR
Mailing Address - Street 2:2
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-6640
Mailing Address - Country:US
Mailing Address - Phone:603-401-5369
Mailing Address - Fax:
Practice Address - Street 1:45 ROYAL CREST DR
Practice Address - Street 2:2
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-6640
Practice Address - Country:US
Practice Address - Phone:603-401-5369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program