Active NPIIndividual provider

Bethany L Miller, PA-C

Physician Assistant in Uncasville, Connecticut

NPI Number1639111891
Practice location
80 Norwich New London Tpke, Uncasville, CT 06382-2527
Fax
860-848-9875
Last updated
November 20, 2013

Bethany Luciani Miller is a Physician Assistant based in Uncasville, CT. Bethany Luciani Miller practices in Uncasville, CT and has the professional credentials of PA-C. The NPI Number for Bethany Luciani Miller is 1639111891 and holds a License No. 1434 (CT). The current practice location address for Bethany Luciani Miller is 80 Norwich New London Tpke, Uncasville, CT 06382-2527 and can be reached out via phone at 860-848-1297 and via fax at 860-848-9875.

Provider Profile Details

NPI Number
1639111891
Provider Name
Bethany Luciani Miller
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
80 Norwich New London Tpke, Uncasville, CT 06382-2527
Phone Number
860-848-1297
Fax Number
860-848-9875
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 12, 2006
Last Update Date
November 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Norwich New London Tpke
Uncasville, CT 06382-2527
Zip
06382-2527
Phone Number
860-848-1297
Fax Number
860-848-9875
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
80 Norwich New London Tpke
Uncasville, CT 06382-2527
City
Uncasville
State
CT
Zip
06382-2527
Phone Number
860-848-1297
Fax Number
860-848-9875

License Information

License Number (1)
1434
License State (1)
CT
License Number (2)
001434
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X · 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 Bethany L Miller, PA-C?

The NPI number of Bethany L Miller, PA-C is 1639111891. It was assigned on June 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Bethany L Miller, PA-C?

Bethany L Miller, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 1434.

Where does Bethany L Miller, PA-C practice?

The practice location is 80 Norwich New London Tpke, Uncasville, CT 06382-2527. The office can be reached at 860-848-1297 (phone) or 860-848-9875 (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 1639111891 directly on the NPPES registry website.

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