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NPI Code Detail

MEDICARE: MS. MONICA RACHELLE MILLER MS, CRNP, FNP-C, RN

MEDICARE: MS. MONICA RACHELLE MILLER MS, CRNP, FNP-C, RN
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
1163W00000XRegistered NurseR189696MD
2363LF0000XFamily Nurse PractitionerR189696MD

General Provider Information

NPI Number : 1588326037
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA RACHELLE MILLER MS, CRNP, FNP-C, RN
Provider Business Mailing Address
First Line : PO BOX 1151
Second Line :
City : WESTMINSTER
State : MD
Zip : 21158-5151
Country : US
Telephone Number : 410-801-7630
Fax Number : 410-401-0061
Provider Business Practice Location Address
First Line : 910 WASHINGTON RD STE A
Second Line :
City : WESTMINSTER
State : MD
Zip : 21157-5845
Country : US
Telephone Number : 410-801-7630
Fax Number : 410-401-0061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2021
Last Update Date : 05/25/2026

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