1861480758 NPI number — MARGARET ELIZABETH MILLER M.S.

Table of content: MARGARET ELIZABETH MILLER M.S. (NPI 1861480758)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861480758 NPI number — MARGARET ELIZABETH MILLER M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLER
Provider First Name:
MARGARET
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DEWHURST
Provider Other First Name:
MAGGIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CGC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861480758
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3851 PIPER ST # U-1237
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANCHORAGE
Provider Business Mailing Address State Name:
AK
Provider Business Mailing Address Postal Code:
99508-4684
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
907-212-6889
Provider Business Mailing Address Fax Number:
907-212-2735

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3851 PIPER ST # U-1237
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANCHORAGE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99508-4684
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-212-6889
Provider Business Practice Location Address Fax Number:
907-212-2735
Provider Enumeration Date:
10/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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