Provider Demographics
NPI:1093607699
Name:MILLER, MEGHAN CUMMINGS
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CUMMINGS
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N CRUSEY ST.
Mailing Address - Street 2:A101
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654
Mailing Address - Country:US
Mailing Address - Phone:907-671-8393
Mailing Address - Fax:
Practice Address - Street 1:777 N CRUSEY ST.
Practice Address - Street 2:B112
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654
Practice Address - Country:US
Practice Address - Phone:907-671-8393
Practice Address - Fax:866-843-5158
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator