Provider Demographics
NPI:1487906905
Name:MILLER, EILEEN MARGARET (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:MARGARET
Last Name:MILLER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7338 COOK FARM DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7074
Mailing Address - Country:US
Mailing Address - Phone:419-252-6018
Mailing Address - Fax:800-564-5952
Practice Address - Street 1:1060 EASTWIND DRIVE
Practice Address - Street 2:HEARTLAND CARE PARTNERS
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3331
Practice Address - Country:US
Practice Address - Phone:800-427-1902
Practice Address - Fax:800-564-5952
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2015-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH13783-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner