MEDICARE: TERICKA MILLER

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R209266	MD

General Provider Information

NPI Number	:	1689510398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERICKA MILLER

Provider Business Mailing Address
First Line	:	7375 EXECUTIVE PLACE
Second Line	:	SUITE 400 #1139
City	:	LANHAM
State	:	MD
Zip	:	20706
Country	:	US
Telephone Number	:	240-583-0262
Fax Number	:

Provider Business Practice Location Address
First Line	:	5501 TWIN KNOLLS RD STE 107
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-3260
Country	:	US
Telephone Number	:	240-583-0262
Fax Number	:

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

Provider Enumeration Date	:	04/25/2026
Last Update Date	:	06/15/2026

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Directions to “ TERICKA MILLER ” Practice Location

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