Individual provider · Type 1 NPI

Justyna Brys Mira, CRNP-A

Adult Health Nurse Practitioner · Pikesville, MD

NPI number 1861730863 Active

Practice location

1838 Greene Tree Rd, Suite 150
Pikesville, MD 21208-6391

Fax (410) 486-0399

Mailing address

11350 Mccormick Rd, Executive Plaza 1, Suite 501
Hunt Valley, MD 21031-1002

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR167354 (MD)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1861730863

Justyna Brys Mira, CRNP-A's National Provider Identifier is 1861730863, issued on Jan 25, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Pikesville, MD. The record was last updated on Feb 21, 2017.