Individual
HEIDI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 RUSSELL AVE, GAITHERSBURG, MD 20879-3584
(301) 869-0700
Mailing address
1520 BRENDA DR, GREENCASTLE, PA 17225-8406
(240) 469-9662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R172956
MD
163W00000X
Registered Nurse
RN570090
PA
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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