Individual
SUSAN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
600 N. WOLFE STREET, BALTIMORE, MD 21287
(410) 614-1189
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R135746
MD
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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