Provider Demographics
NPI:1538953344
Name:MILLER, TROY B
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:B
Last Name:MILLER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 S X RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NE
Mailing Address - Zip Code:68843-2315
Mailing Address - Country:US
Mailing Address - Phone:402-710-0292
Mailing Address - Fax:
Practice Address - Street 1:1007 S X RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NE
Practice Address - Zip Code:68843-2315
Practice Address - Country:US
Practice Address - Phone:402-710-0292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE33373201372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider