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NPI Code Detail

MEDICARE: EVENNY MILLINER

MEDICARE: EVENNY MILLINER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker27917MD

General Provider Information

NPI Number : 1528715356
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVENNY MILLINER
Provider Business Mailing Address
First Line : 4600 FORBES BLVD STE 202
Second Line :
City : LANHAM
State : MD
Zip : 20706-4469
Country : US
Telephone Number : 443-272-5939
Fax Number :
Provider Business Practice Location Address
First Line : 3815 FORT DR NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-1870
Country : US
Telephone Number : 888-878-8236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2022
Last Update Date : 07/19/2023

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Directions to “ EVENNY MILLINER ” Practice Location

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