Olivia Grace Miller, RN
Registered Nurse in South Charleston, WV. Individual provider (NPI-1).
NPI number1104737022
StatusActive
Last updated in NPPESSep 17, 2026
Details
- NPI
- 1104737022
- Entity type
- Individual (NPI-1)
- Name
- Olivia Grace Miller
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2026
- Certification date
- Sep 17, 2026
- Last updated
- Sep 17, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 121252 | WV | Yes |
Practice location
4605 Maccorkle Ave SwSouth Charleston, WV 25309-1398
Phone 304-766-3600
Mailing address
1255 Johns Creek RdMilton, WV 25541-2250
Phone 304-389-3155
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 15 Registered Nurse providers in South Charleston · All 2,788 providers in South Charleston
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