Basic Information
| Provider Information | |||||||||
| NPI: | 1376936872 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MILLER-BRELAND | ||||||||
| FirstName: | TIANA | ||||||||
| MiddleName: | |||||||||
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| Credential: | CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 E ROLLING XRDS STE 110 | ||||||||
| Address2: | |||||||||
| City: | CATONSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212286277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107449073 | ||||||||
| FaxNumber: | 4107449098 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 E ROLLING XRDS STE 110 | ||||||||
| Address2: | |||||||||
| City: | CATONSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212286277 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107449073 | ||||||||
| FaxNumber: | 4107449098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/09/2015 | ||||||||
| LastUpdateDate: | 10/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | R215462 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.