Provider Demographics
NPI:1700372620
Name:MILLER, MEREDITH MORROW (PMHNP)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:MORROW
Last Name:MILLER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 MACKEREL LN
Mailing Address - Street 2:
Mailing Address - City:CAROLINA BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28428-5706
Mailing Address - Country:US
Mailing Address - Phone:920-810-1122
Mailing Address - Fax:
Practice Address - Street 1:1601 MACKEREL LN
Practice Address - Street 2:
Practice Address - City:CAROLINA BEACH
Practice Address - State:NC
Practice Address - Zip Code:28428-5706
Practice Address - Country:US
Practice Address - Phone:920-810-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010683363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health