Individual
THERESA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-4177
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 319-4177
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
665618
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173532602
—
MD
01
—
8D8443
MEDICARE ID-TYPE UNSPECIFIED
MD
Enumeration date
05/16/2006
Last updated
09/17/2008
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