Provider Demographics
NPI:1205270485
Name:MILLER, SHERYL LYNN (NP-C)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:SHADYSIDE
Mailing Address - State:OH
Mailing Address - Zip Code:43947
Mailing Address - Country:US
Mailing Address - Phone:740-671-9357
Mailing Address - Fax:740-671-9739
Practice Address - Street 1:4000 CENTRAL AVENUE
Practice Address - Street 2:SHADYSIDE HEALTH CENTER
Practice Address - City:SHADYSIDE
Practice Address - State:OH
Practice Address - Zip Code:43947
Practice Address - Country:US
Practice Address - Phone:740-671-9357
Practice Address - Fax:740-671-9739
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14372-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily