Individual
BONNIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 GUILFORD AVE FL 2, BALTIMORE, MD 21202-3621
(410) 396-8615
Mailing address
21 OVERBROOK RD, BALTIMORE, MD 21228-1945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RO42711
MD
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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