Miller, Mandy

Miller, Mandy is an individual health care provider with primary practice located at 830 Queens Park Dr , Owings Mills MD 21117-2250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Miller, Mandy can be contacted via phone (443) 474-3803.

Contact Information

Primary practice address
830 Queens Park Dr Owings Mills MD 21117-2250
Phone: (443) 474-3803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C0002202 Maryland

Profile Details

NPI number 1295226504
LBN Legal business name Miller, Mandy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2018
Last updated May 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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