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Dina M Miller

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

501 20th St Ste 503, Knoxville, TN 37916-1832

PECOS Enrollment

This provider is enrolled in PECOS as DINA MILLER.

Based on the most recent information from CMS, provider Dina M Miller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1942604269
Provider Type
Individual
Full Name
Miller, Dina M
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/15/2014
Last Updated
8/24/2020

Contact Information

Practice Location

501 20th St Ste 503, Knoxville, TN 37916-1832

(865) 331-4321

(865) 374-2078

Mailing Location

501 20th St Ste 503, Knoxville, TN 37916-1832

(865) 331-4321

(865) 374-2078

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 19341 Tennessee

Dina M Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wilkerson, Lori A.

Yopp, Lisa B.

Stevens, Jenny R

Langstone, Katy

Haynes, Christy

Svoboda, Brenda

Gayle, Kristen Osterman

Weaver, Lisa Frances

Thompson-Long, Keisha

Henderson, Afeni D.