Provider Demographics
NPI:1881402261
Name:MILLER, ABIGAIL DIANE (CNA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:DIANE
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14320 JIM CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6850
Mailing Address - Country:US
Mailing Address - Phone:360-631-7138
Mailing Address - Fax:
Practice Address - Street 1:14320 JIM CREEK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-6850
Practice Address - Country:US
Practice Address - Phone:360-631-7138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide