Provider Demographics
NPI:1669435194
Name:MILLER, BARBARA H (CNM)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:H
Last Name:MILLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17044-1331
Mailing Address - Country:US
Mailing Address - Phone:717-247-7918
Mailing Address - Fax:717-247-7939
Practice Address - Street 1:130 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1331
Practice Address - Country:US
Practice Address - Phone:717-247-7918
Practice Address - Fax:717-247-7939
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008488L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
R28675Medicare UPIN
PA005460Medicare ID - Type Unspecified