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NPI Code Detail

MEDICARE: MINTZELLA MCMILLAN- ROZARIO

MEDICARE:   MINTZELLA  MCMILLAN- ROZARIO
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
1164W00000XLicensed Practical NurseLP29073MD

General Provider Information

NPI Number : 1487448791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINTZELLA MCMILLAN- ROZARIO
Provider Business Mailing Address
First Line : 7104 KEMPTON RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-1102
Country : US
Telephone Number : 301-509-7636
Fax Number :
Provider Business Practice Location Address
First Line : 6301 WALKER MILL RD
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-4328
Country : US
Telephone Number : 301-516-4330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 04/09/2025

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Directions to “ MINTZELLA MCMILLAN- ROZARIO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.