LESLIE LYNN MILLER RN NPI 1093975526

NPI Information

NPI: 1093975526
Provider Name: LESLIE LYNN MILLER, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
325 N LAFAYETTE BLVD
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-2100
Get Directions

Leslie Lynn Miller, RN is a case management registered nurse in South Bend, IN. Leslie Lynn Miller, RN NPI is 1093975526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

325 N LAFAYETTE BLVD
SOUTH BEND, IN
ZIP 46601-208
Phone: (574) 647-2100

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	28141521A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200424820	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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