Individual
MS. CAROL T. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-PMH, BC
Contact information
Practice address
340 PARK AVE, FREDERICK, MD 21701-4931
(301) 633-1683
Mailing address
340 PARK AVE, FREDERICK, MD 21701-4931
(301) 663-1683
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R134051
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131985
MEDICARE PTAN
—
Enumeration date
01/24/2007
Last updated
12/17/2008
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