Doctor Name: | MARILYN JOYCE MILLER |
NPI Number: | 1245293638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD., CRNP, CS-P |
License Number: | R060407 |
Business Practice Address: | Medical Center Bldg 80, Ave D Perry Point, MD - 21902 |
Business Phone Number: | 4106422411 |
Business Fax Number: | |
Mailing Address: | 1409 Valley Forge Way, ABINGDON |
State: | MD |
Postal Code: | 210092707 |
Phone Number: | 4105384589 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 03/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | R060407 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |