Provider Demographics
NPI:1831080431
Name:MILLER, SYDNEY GENETTE (CD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:GENETTE
Last Name:MILLER
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 E FAIRMOUNT AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-1038
Mailing Address - Country:US
Mailing Address - Phone:443-852-1630
Mailing Address - Fax:
Practice Address - Street 1:2304 E FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-1038
Practice Address - Country:US
Practice Address - Phone:443-852-1630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty