MEDICARE: NADENIA CASIRENE 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	374U00000X	Home Health Aide		DC

General Provider Information

NPI Number	:	1831692177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADENIA CASIRENE MILLER

Provider Business Mailing Address
First Line	:	3961 WARNER AVE APT B1
Second Line	:
City	:	LANDOVER HILLS
State	:	MD
Zip	:	20784-2042
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1669 COLUMBIA RD NW APT 301
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-3627
Country	:	US
Telephone Number	:	240-470-6190
Fax Number	:

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

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	03/13/2018

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Directions to “ NADENIA CASIRENE MILLER ” Practice Location

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