Individual
REGINA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6095 MARSHALEE DR, EVERCARE 1ST FLOOR, ELKRIDGE, MD 21075-6053
(410) 379-3400
(410) 379-3591
Mailing address
8752 ASPEN GROVE CT, ODENTON, MD 21113-2229
(443) 871-1878
(410) 379-3591
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R131611
MD
Other
Enumeration date
01/15/2007
Last updated
08/19/2008
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