National Provider Identifier

Diane Miller

Diane Miller is listed in the NPPES registry with a primary specialty of Community Health Worker in Lackawanna, NY and a listed phone number of (716) 828-7535.

NPI 1871347666Lackawanna, NYCommunity Health Worker

Profile Overview

NPI
1871347666
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
April 16, 2024
Last Updated
April 16, 2024

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-7535

Mailing Address

  • 3041 Walbridge Dr
  • Hamburg, NY 14075-3156

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1871347666
Entity Type
Individual
Last Name
Miller
First Name
Diane
Mailing Street Address
3041 Walbridge Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-3156
Mailing Country
US
Mailing Phone
(716) 480-1320
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-7535
Enumeration Date
April 16, 2024
Last Updated
April 16, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)