Individual
SUSAN ANN NILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6401 YORK RD STE 3, BALTIMORE, MD 21212-2130
(410) 887-2725
(410) 887-2785
Mailing address
8606 COUNTRY BROOKE WAY, LUTHERVILLE, MD 21093-4773
(410) 823-5046
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R069263
MD
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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