Provider Demographics
NPI:1841700978
Name:MILLER, EMILY MORGAN (CPM LDM LM)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MORGAN
Last Name:MILLER
Suffix:
Gender:F
Credentials:CPM LDM LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-1730
Mailing Address - Country:US
Mailing Address - Phone:207-245-2298
Mailing Address - Fax:207-888-2244
Practice Address - Street 1:48 FRONT ST # 208
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2524
Practice Address - Country:US
Practice Address - Phone:207-200-7317
Practice Address - Fax:207-888-2244
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-03
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10185784176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife