Provider Demographics
NPI:1477113561
Name:MILLER, MARGARET KEANE (NP)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:KEANE
Last Name:MILLER
Suffix:
Gender:
Credentials:NP
Other - Prefix:MISS
Other - First Name:MARGARET
Other - Middle Name:KEANE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:151 GREENWICH AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6570
Mailing Address - Country:US
Mailing Address - Phone:888-334-2500
Mailing Address - Fax:475-303-3055
Practice Address - Street 1:151 GREENWICH AVE APT 306
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6570
Practice Address - Country:US
Practice Address - Phone:888-334-2500
Practice Address - Fax:475-303-3055
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY402667363LP0808X
CT12318363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health