Miller, Eileen Mary

Miller, Eileen Mary is an sole proprietor health care provider with primary practice located at 385 West Main Street , Avon CT 06001. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miller, Eileen Mary can be contacted via phone (860) 777-1280.

Contact Information

Primary practice address
385 West Main Street Avon CT 06001
Phone: (860) 777-1280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 289585-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F342266-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 007457 Connecticut

Profile Details

NPI number 1194913210
LBN Legal business name Miller, Eileen Mary
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2007
Last updated Jul 23rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194913210 NPPES
Connecticut Other 007457 CT LIC

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