Provider Demographics
NPI:1861766909
Name:MILLER, EMILY JOY (CRNP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JOY
Last Name:MILLER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:694 GOOD DR STE 11
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2433
Mailing Address - Country:US
Mailing Address - Phone:717-544-3737
Mailing Address - Fax:717-544-3739
Practice Address - Street 1:694 GOOD DR STE 11
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3737
Practice Address - Fax:717-544-3739
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012396363LW0102X
NJ26NJ00367000363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007278000OtherTPI GROUP MA
PACD4829OtherTPI GROUP RR MEDICARE
PA597586OtherTPI GROUP MEDICARE
PA1007278000OtherTPI GROUP MA