Individual
NIKOLE J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
427 N. 12TH STREET, PLUMMER, ID 83851
(208) 686-1931
Mailing address
PO BOX 388, PLUMMER, ID 83851-0388
(208) 686-1931
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
59325
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108369
—
WA
Enumeration date
01/07/2008
Last updated
01/04/2019
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