Provider Demographics
NPI:1528469780
Name:MILLER, ASHLEY R (MA)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:R
Last Name:MILLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:R
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3100 MEDICAL PKWY
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-1088
Mailing Address - Country:US
Mailing Address - Phone:918-342-0770
Mailing Address - Fax:918-342-0087
Practice Address - Street 1:109 N FAIRLAND ST
Practice Address - Street 2:
Practice Address - City:PRYOR
Practice Address - State:OK
Practice Address - Zip Code:74361-4203
Practice Address - Country:US
Practice Address - Phone:918-915-1582
Practice Address - Fax:918-825-1406
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator