Provider Demographics
NPI:1588326037
Name:MILLER, MONICA RACHELLE (MS, CRNP, FNP-C, RN)
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:RACHELLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS, CRNP, FNP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 SKYLINE WAY
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-2913
Mailing Address - Country:US
Mailing Address - Phone:410-982-3330
Mailing Address - Fax:
Practice Address - Street 1:104 N MAIN ST
Practice Address - Street 2:
Practice Address - City:UNION BRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21791-9102
Practice Address - Country:US
Practice Address - Phone:443-937-6258
Practice Address - Fax:949-404-6023
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR189696363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse