MEDICARE: ANGELA MILIMAN CRNP-F

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
1	363LF0000X	Family Nurse Practitioner	R125996	MD

General Provider Information

NPI Number	:	1336147743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MILIMAN CRNP-F

Provider Business Mailing Address
First Line	:	11350 MCCORMICK RD
Second Line	:	EXECUTIVE PLAZA 1, SUITE 501
City	:	HUNT VALLEY
State	:	MD
Zip	:	21031-1002
Country	:	US
Telephone Number	:	410-787-8315
Fax Number	:	410-787-8316

Provider Business Practice Location Address
First Line	:	1600 CRAIN HWY S
Second Line	:	SUITE 301
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-5577
Country	:	US
Telephone Number	:	410-787-8315
Fax Number	:	410-787-8316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2005
Last Update Date	:	03/07/2022

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