Provider Demographics
NPI:1073894218
Name:MILLER, CAITLIN (CNM)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:MILLER
Suffix:
Gender:
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2637 SHADELANDS DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2512
Mailing Address - Country:US
Mailing Address - Phone:925-945-6600
Mailing Address - Fax:925-945-7842
Practice Address - Street 1:2637 SHADELANDS DR
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2512
Practice Address - Country:US
Practice Address - Phone:925-945-6600
Practice Address - Fax:925-945-7842
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMF1965207VG0400X
CA1965176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology