Provider Demographics
NPI:1104283431
Name:MILLER, EMILY MARI (APN)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:MARI
Last Name:MILLER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-2505
Mailing Address - Country:US
Mailing Address - Phone:973-615-6577
Mailing Address - Fax:
Practice Address - Street 1:45 CAREY AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1475
Practice Address - Country:US
Practice Address - Phone:973-283-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-17
Last Update Date:2016-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00614000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily