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Individual
ELEANOR G MILLSAP
Active
Individual
ELEANOR G MILLSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44970
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161720
BLUECROSS BLUESHIELD KS
KS
05
—
200381990A
—
KS
01
—
P00353059
RAIL ROAD MEDICARE
—
Enumeration date
06/30/2006
Last updated
04/15/2013
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