National Provider Identifier
Tanisa Marie Miller, RD
Tanisa Marie Miller, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (585) 463-2630.
Profile Overview
- NPI
- 1790954337
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 28, 2008
- Last Updated
- April 15, 2013
Practice Location
- 465 Westfall RD
- Rochester, NY 14620-4645
Phone: (585) 463-2630
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1790954337
- Entity Type
- Individual
- Last Name
- Miller
- First Name
- Tanisa
- Middle Name
- Marie
- Credential
- RD
- Mailing Street Address
- 465 Westfall RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-4645
- Mailing Country
- US
- Practice Street Address
- 465 Westfall RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4645
- Practice Country
- US
- Practice Phone
- (585) 463-2630
- Enumeration Date
- February 28, 2008
- Last Updated
- April 15, 2013
- Sex
- Female
- Sole Proprietor
- No
- Taxonomies
- Registered Dietitian (133V00000X)