Provider Demographics
NPI:1457963779
Name:MILLER, REBECCA ERIN (RN)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ERIN
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FRANCIS ST
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:KY
Mailing Address - Zip Code:40336-1018
Mailing Address - Country:US
Mailing Address - Phone:606-643-5164
Mailing Address - Fax:
Practice Address - Street 1:100 FRANCIS ST
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:KY
Practice Address - Zip Code:40336-1018
Practice Address - Country:US
Practice Address - Phone:606-643-5164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator