Millennium 25 Group LLC
NPI #1861071912 in Millersville, Maryland
Provider Information
- NPI Number
- 1861071912
- Entity Type
- Organization
- Organization Name
- Millennium 25 Group LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 6, 2021
- Last Updated
- Apr 15, 2021
Practice Location
- Address
- 672 OLD MILL RD STE I
- City
- Millersville
- State
- Maryland
- ZIP Code
- 21108-1363
- Phone
- (410) 729-0630
Authorized Official
- Name
- TRAVIS ALDEN BAIRD, CRNP
- Title
- PRESIDENT
- Phone
- (917) 873-5716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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