Provider Demographics
NPI:1306659719
Name:MILLER, MORGAN RAE
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:RAE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5271 TOWNSHIP ROAD 49
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-9642
Mailing Address - Country:US
Mailing Address - Phone:567-241-9435
Mailing Address - Fax:
Practice Address - Street 1:5271 TOWNSHIP ROAD 49
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-9642
Practice Address - Country:US
Practice Address - Phone:567-241-9435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide