Individual
MS. CARISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
615 W MACPHAIL RD STE 105&106, BEL AIR, MD 21014-4309
(410) 638-8900
(410) 638-8916
Mailing address
615 W MACPHAIL RD STE 105&106, BEL AIR, MD 21014-4309
(410) 638-8900
(410) 638-8916
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R183678
MD
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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