Individual
SHANEISHA D MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
Mailing address
1230 N GAY ST, BALTIMORE, MD 21213-3137
(860) 819-1925
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN223366
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN223366
MD
Other
Enumeration date
05/06/2024
Last updated
05/31/2024
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