Provider Demographics
NPI:1881922094
Name:MILLER, CAVEL S (FNP)
Entity type:Individual
Prefix:
First Name:CAVEL
Middle Name:S
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 E GUN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3708
Mailing Address - Country:US
Mailing Address - Phone:718-957-7544
Mailing Address - Fax:718-957-7545
Practice Address - Street 1:936 E GUN HILL RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-3708
Practice Address - Country:US
Practice Address - Phone:718-957-7544
Practice Address - Fax:718-957-7545
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-28
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6220551163W00000X
NYF342598-1363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse