Maddison Miller

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dover, PA

NPI 1992292171 · NPPES record last updated Apr 13, 2018

Key facts

NPI
1992292171
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1491 Lamplite Dr
Dover, PA 17315-2600
Phone
(717) 487-6262
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X PA
Student in an Organized Health Care Education/Training Program 390200000X PA Yes

Addresses

Primary practice location

1491 Lamplite Dr
Dover, PA 17315-2600

Mailing address

1491 Lamplite Dr
Dover, PA 17315-2600
Phone (717) 487-6262

Other practice location 1

709 S New Street Brandywine Hall 544-C
West Chester, PA 19383-2600
Phone (610) 436-1000

Other providers in Dover, PA

All providers in Dover, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.