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NPI Code Detail

MEDICARE: MRS. ANGELA MILLER FNP

MEDICARE: MRS. ANGELA MILLER FNP
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
1363L00000XNurse Practitioner28224048AIN

General Provider Information

NPI Number : 1942920103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA MILLER FNP
Provider Business Mailing Address
First Line : 6246 TWIN CREEKS DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-5406
Country : US
Telephone Number : 765-210-6061
Fax Number :
Provider Business Practice Location Address
First Line : 10175 LITTLE PATUXENT PKWY
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-2655
Country : US
Telephone Number : 260-240-9914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2022
Last Update Date : 08/29/2022

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