Provider Demographics
NPI:1336178813
Name:MILLER, JULIA E (NP)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:E
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 1:601 ELMWOOD AVE
Mailing Address - Street 2:BOX 278980
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4400 LAKEVILLE RD
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-9762
Practice Address - Country:US
Practice Address - Phone:585-243-1400
Practice Address - Fax:585-243-0518
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330081363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP019330081OtherBLUE CHOICE
NYNP0394OtherPREFERRED CARE
NYP019330081OtherBLUE CHOICE
NYNP0394OtherPREFERRED CARE