National Provider Identifier

Ebony Denise Miller, NP

Ebony Denise Miller, NP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 368-4050.

NPI 1275041741Rochester, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1275041741
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
January 17, 2018
Last Updated
November 25, 2019

Practice Location

  • 105 Canal Landing Blvd Ste 1
  • Rochester, NY 14626-5107

Phone: (585) 368-4050

Mailing Address

  • 553 Black Walnut Dr
  • Rochester, NY 14615-1419

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Adult Health Nurse Practitioner (363LA2200X)
Full Record
NPI
1275041741
Entity Type
Individual
Last Name
Miller
First Name
Ebony
Middle Name
Denise
Credential
NP
Mailing Street Address
553 Black Walnut Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-1419
Mailing Country
US
Mailing Phone
(585) 802-0942
Practice Street Address
105 Canal Landing Blvd Ste 1
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-5107
Practice Country
US
Practice Phone
(585) 368-4050
Enumeration Date
January 17, 2018
Last Updated
November 25, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Adult Health Nurse Practitioner (363LA2200X)