Healthcare Provider Details

I. General information

NPI: 1588326037
Provider Name (Legal Business Name): MONICA RACHELLE MILLER MS, CRNP, FNP-C, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 WASHINGTON RD STE A
WESTMINSTER MD
21157-5845
US

IV. Provider business mailing address

PO BOX 1151
WESTMINSTER MD
21158-5151
US

V. Phone/Fax

Practice location:
  • Phone: 410-801-7630
  • Fax: 410-401-0061
Mailing address:
  • Phone: 410-801-7630
  • Fax: 410-401-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR189696
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR189696
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: