Individual
MRS. TARA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6704
(410) 328-4124
Mailing address
PO BOX 64795, BALTIMORE, MD 21264-4795
(410) 328-6704
(410) 328-4124
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R178131
MD
Other
Enumeration date
02/29/2012
Last updated
12/02/2014
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