Provider Demographics
NPI:1003602426
Name:MILLER, BRIDGETTE I
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:
Last Name:MILLER
Suffix:I
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 E 13TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-7353
Mailing Address - Country:US
Mailing Address - Phone:513-379-7110
Mailing Address - Fax:
Practice Address - Street 1:210 E 13TH ST APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-7353
Practice Address - Country:US
Practice Address - Phone:513-379-7110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide