Individual
MRS. MARTHA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4700
(443) 444-4770
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4700
(443) 444-4770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R183548
MD
363LA2200X
Adult Health Nurse Practitioner
Primary
R183548
MD
Other
Enumeration date
06/22/2015
Last updated
01/23/2025
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