Provider Demographics
NPI:1538373089
Name:MILLER, SHARON LYNNE (RN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8606 QUANDT AVE
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1527
Mailing Address - Country:US
Mailing Address - Phone:313-318-7282
Mailing Address - Fax:313-383-0126
Practice Address - Street 1:8606 QUANDT AVE
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1527
Practice Address - Country:US
Practice Address - Phone:313-318-7282
Practice Address - Fax:313-383-0126
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704140897163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health