Provider Demographics
NPI:1881420479
Name:MILLER, NANCY RAE (PT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:RAE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:RAE
Other - Last Name:CRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:219 DIAMOND HEAD DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2877
Mailing Address - Country:US
Mailing Address - Phone:919-724-8437
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-681-2030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist