Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Etthan Charles Miller

Individual provider Emergency Registered Nurse · NPI 1336546209

Mr. Etthan Charles Miller is a Nurse Practitioner in Wytheville, Virginia. Qualified in 2014, 12 years ago. Practices with Wythe County Physician Practices LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
12
Licensed in
VA
In the registry since
2014
Specialties on file
3

Practice location Address checks out

360 Virginia Ave Ste A
Wytheville, VA 24382-1185
Phone: (276) 620-4246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024172389 (VA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 0001111520 (VA)
Occupational Health Registered Nurse Taxonomy 163WX0106X · Licence 0001111520 (VA)

Record details

NPI number1336546209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2014
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wythe County Physician Practices Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount