Provider Demographics
NPI:1679013247
Name:MILLER, AMY ELIZABETH (CPM)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 493
Mailing Address - Street 2:37 W BALTIMORE ST
Mailing Address - City:FUNKSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21734-0493
Mailing Address - Country:US
Mailing Address - Phone:240-643-8768
Mailing Address - Fax:
Practice Address - Street 1:37 W BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:FUNKSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21734-0493
Practice Address - Country:US
Practice Address - Phone:240-643-8768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife