Provider Demographics
NPI:1083038889
Name:MILLER, SARA NICOLE (PA-C)
Entity type:Individual
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First Name:SARA
Middle Name:NICOLE
Last Name:MILLER
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Gender:F
Credentials:PA-C
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Practice Address - Street 1:300 HALKET ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3108
Practice Address - Country:US
Practice Address - Phone:412-641-2164
Practice Address - Fax:412-359-8977
Is Sole Proprietor?:No
Enumeration Date:2014-02-13
Last Update Date:2024-06-20
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Provider Licenses
StateLicense IDTaxonomies
PAMA056642363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
13637941OtherCAQH
PA103191099Medicaid