Provider Demographics
NPI:1396126371
Name:MILTNER, MARNI S (ANP)
Entity type:Individual
Prefix:
First Name:MARNI
Middle Name:S
Last Name:MILTNER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MARNI
Other - Middle Name:S
Other - Last Name:ROSSMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6830 HOSPITAL DR STE 106
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4375
Mailing Address - Country:US
Mailing Address - Phone:410-686-8000
Mailing Address - Fax:410-284-7204
Practice Address - Street 1:6830 HOSPITAL DR STE 106
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4375
Practice Address - Country:US
Practice Address - Phone:410-686-8000
Practice Address - Fax:410-284-7204
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128097363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily