Provider Demographics
NPI:1588922538
Name:MILLER, DEBORAH B (CNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:B
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 GIBBS ST
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-2801
Mailing Address - Country:US
Mailing Address - Phone:419-893-7134
Mailing Address - Fax:419-893-6942
Practice Address - Street 1:625 GIBBS ST
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-2801
Practice Address - Country:US
Practice Address - Phone:419-893-7134
Practice Address - Fax:419-893-6942
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 03380-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health