Individual
MS. TRACI RAE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRNP
Contact information
Practice address
6095 MARSHALEE DR, ELKRIDGE, MD 21075-6053
(410) 379-3400
Mailing address
729 PINE TRL, ARNOLD, MD 21012-1628
(410) 340-3842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R117726
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211140300
—
MD
Enumeration date
07/13/2005
Last updated
10/02/2008
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