Individual
LISA M MIKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6740 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2253
(410) 997-8444
(410) 997-8832
Mailing address
6740 ALEXANDER BELL DR STE 200, COLUMBIA, MD 21046-2253
(410) 997-8444
(410) 997-8832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R071359
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025
CAREFIRST-DC
MD
01
—
525683-02
CAREFIRST-MD
MD
Enumeration date
04/01/2006
Last updated
07/20/2023
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