Provider Demographics
NPI:1811738271
Name:MILLER, MEGAN LEE (NP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LEE
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 1:4380 GLENDALE MILFORD RD
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3706
Mailing Address - Country:US
Mailing Address - Phone:513-793-5070
Mailing Address - Fax:
Practice Address - Street 1:4380 GLENDALE MILFORD RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-3706
Practice Address - Country:US
Practice Address - Phone:513-793-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-01
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.370593163W00000X
OHAPRN.CNP.0036564363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse