Provider Demographics
NPI:1174874192
Name:MILLER, CATHLEEN M (DNP,CNM)
Entity type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:DNP,CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:EAST GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18041-2330
Mailing Address - Country:US
Mailing Address - Phone:267-278-2703
Mailing Address - Fax:
Practice Address - Street 1:1110 ROCKLAND ST STE A
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1501
Practice Address - Country:US
Practice Address - Phone:610-988-4838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2019-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010261367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife