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Individual

SUSAN MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3901 ETTRICK CT, BOWIE, MD 20716-3253
(301) 352-8261
Mailing address
3901 ETTRICK CT, BOWIE, MD 20716-3253
(301) 352-8261

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R088388
MD

Other

Enumeration date
07/26/2006
Last updated
05/09/2012
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