Individual provider · Type 1 NPI

Mary Dedick Miller, ANP, GNP

Gerontology Nurse Practitioner · Waltham, MA

NPI number 1790834166 Active

Practice location

950 Winter St, Suite 3800
Waltham, MA 02451-1424

Mailing address

106 Enterprise St
Duxbury, MA 02332-3307

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XMA (MA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1790834166

Mary Dedick Miller, ANP, GNP's National Provider Identifier is 1790834166, issued on Jan 8, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Waltham, MA. The record was last updated on Jul 8, 2007.