National Provider Identifier

Michelle Lynn Miller

Michelle Lynn Miller is listed in the NPPES registry with a primary specialty of Registered Nurse in Randolph, NY and a listed phone number of (716) 708-5164.

NPI 1639567753Randolph, NYRegistered Nurse

Profile Overview

NPI
1639567753
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
December 23, 2014
Last Updated
December 23, 2014

Practice Location

  • 15 College Ave
  • Apt 1
  • Randolph, NY 14772-1105

Phone: (716) 708-5164

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1639567753
Entity Type
Individual
Last Name
Miller
First Name
Michelle
Middle Name
Lynn
Mailing Street Address
15 College Ave
Mailing Address Line 2
Apt 1
Mailing City
Randolph
Mailing State
NY
Mailing ZIP Code
14772-1105
Mailing Country
US
Mailing Phone
(716) 708-5164
Practice Street Address
15 College Ave
Practice Address Line 2
Apt 1
Practice City
Randolph
Practice State
NY
Practice ZIP Code
14772-1105
Practice Country
US
Practice Phone
(716) 708-5164
Enumeration Date
December 23, 2014
Last Updated
December 23, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)