Individual provider · Type 1 NPI
Carissa Miller, AGNP-BC
Primary Care Nurse Practitioner · Bel Air, MD
NPI number
1154076776
Active
Practice location
615 W Macphail Rd Ste 105&106
Bel Air, MD 21014-4309
Fax (410) 638-8916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | R183678 (MD) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1154076776
Carissa Miller, AGNP-BC's National Provider Identifier is 1154076776, issued on Feb 14, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bel Air, MD. The record was last updated on Feb 14, 2022.