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Individual

ELIZABETH A MILLS

Active
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Individual

ELIZABETH A MILLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008926
KY
363LF0000X
Family Nurse Practitioner
3008926
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000906002
ANTHEM-NLSC
KY
01
—
168156
SIHO-NLSC
KY
01
—
50079000
PASSPORT-NLSC
KY
05
—
7100320490
—
KY
01
—
P01389183
MEDICARE RAILROAD KY-NLSC
KY
Enumeration date
09/09/2014
Last updated
04/20/2017
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