Provider Demographics
NPI:1619774254
Name:MILLER, CHELSEA HARDAWAY (BSN, IBCLC, CPM)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:HARDAWAY
Last Name:MILLER
Suffix:
Gender:F
Credentials:BSN, IBCLC, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19209 N ROUTE V
Mailing Address - Street 2:
Mailing Address - City:STURGEON
Mailing Address - State:MO
Mailing Address - Zip Code:65284-9469
Mailing Address - Country:US
Mailing Address - Phone:985-237-2042
Mailing Address - Fax:
Practice Address - Street 1:19209 N ROUTE V
Practice Address - Street 2:
Practice Address - City:STURGEON
Practice Address - State:MO
Practice Address - Zip Code:65284-9469
Practice Address - Country:US
Practice Address - Phone:985-237-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RN