SHARLENE MILLER (NPI# 1104359769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104359769 |
| Entity Type | Individual |
| Full Name | SHARLENE MILLER |
| Practice Address |
1800 21st Ave S Fargo ND 58103-5759 |
| Mailing Address |
1571 11th Ave East West Fargo ND 58078-5759 |
| Practice Telephone | 7012054772 |
| Mailing Telephone | 7012054772 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
ND | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1800 21ST AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992803662 | Sue Karen Wink | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103-5759 | 2006-09-20 |
| 1528509288 | My Pt, Pllc | Clinic/Center | 1800 21st Ave S, Fargo, ND 58103-5759 | 2017-03-14 |
| 1881043768 | Ashley N Rogers | Audiologist | 1800 21st Ave S, Fargo, ND 58103-5759 | 2016-06-10 |
| 1033593025 | Taylor Fontaine | Physician Assistant | 1800 21st Ave S, Fargo, ND 58103-5759 | 2015-07-20 |
| 1326438649 | Jennifer Blais | Nurse Practitioner | 1800 21st Ave S, Fargo, ND 58103-5759 | 2015-01-26 |
| 1083962559 | Emily Richard | Hearing Instrument Specialist | 1800 21st Ave S, Fargo, ND 58103-5759 | 2012-08-15 |
| 1972862332 | Amy E Ulbricht | Nurse Practitioner | 1800 21st Ave S, Fargo, ND 58103-5759 | 2012-05-04 |
| 1952469165 | Susan M Mathison | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103 | 2006-12-04 |
| 1043378268 | Catalyst Medical Center PC | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103 | 2006-12-04 |
| 1730280892 | Morris E Bellis | Otolaryngology | 1800 21st Ave S, Fargo, ND 58103-5759 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
Please comment or provide details below to improve the information on SHARLENE MILLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.