Active NPIIndividual provider

Mary Miller

Nurse Anesthetist, Certified Registered in Willimantic, Connecticut

NPI Number1447620703
Practice location
1185 Main St Ste 4, Willimantic, CT 06226-2093
Fax
860-423-4694
Last updated
April 28, 2025

Mary Miller is a Nurse Anesthetist, Certified Registered based in Willimantic, CT. Mary Miller practices in Willimantic, CT. The NPI Number for Mary Miller is 1447620703 and holds a License No. RN255546 (MA). The current practice location address for Mary Miller is 1185 Main St Ste 4, Willimantic, CT 06226-2093 and can be reached out via phone at 860-423-7556 and via fax at 860-423-4694.

Provider Profile Details

NPI Number
1447620703
Provider Name
Mary Miller
Provider Entity Type
Individual
Gender
Female
Address
1185 Main St Ste 4, Willimantic, CT 06226-2093
Phone Number
860-423-7556
Fax Number
860-423-4694
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
September 30, 2015
Last Update Date
April 28, 2025
Certification Date
April 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1185 Main St Ste 4
Willimantic, CT 06226-2093
Zip
06226-2093
Phone Number
860-423-7556
Fax Number
860-423-4694
Willimantic, CT 06226Get directions →

Provider Business Mailing Address Details

Address
12 Rhonda Rheault Dr # 1
Oxford, MA 01540-2300
City
Oxford
State
MA
Zip
01540-2300
Phone Number
774-670-8566

License Information

License Number (1)
RN255546
License State (1)
MA
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (2)
EL11037
License State (2)
NH
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
6781
License State (3)
CT
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Miller?

The NPI number of Mary Miller is 1447620703. It was assigned on September 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Mary Miller?

Mary Miller is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number RN255546.

Where does Mary Miller practice?

The practice location is 1185 Main St Ste 4, Willimantic, CT 06226-2093. The office can be reached at 860-423-7556 (phone) or 860-423-4694 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447620703 directly on the NPPES registry website.

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