Individual
MS. STACEY ELIZABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(202) 877-7000
Mailing address
21454 ESTATE PL, ASHBURN, VA 20147-6008
(703) 723-0021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN58067
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093900
—
DC
05
—
405962000
—
DC
Enumeration date
01/27/2006
Last updated
04/17/2024
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