Individual provider · Type 1 NPI

Ivy Smith Mills

Nurse Practitioner · Berwyn Heights, MD

NPI number 1679221329 Active

Practice location

6201 Greenbelt Rd Ste L5
Berwyn Heights, MD 20740-2357

Mailing address

8502 Rheims Ct
Upper Marlboro, MD 20772-6404

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR144184 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679221329

Ivy Smith Mills's National Provider Identifier is 1679221329, issued on Mar 11, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Berwyn Heights, MD. The record was last updated on May 6, 2026.