Individual
MRS. DIANA GRAY MILLENBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RNP, BC
Contact information
Practice address
3801 CAMDEN RD STE 12, PINE BLUFF, AR 71603-4612
(870) 534-4847
(870) 534-4884
Mailing address
3801 CAMDEN RD STE 12, PINE BLUFF, AR 71603-4612
(870) 534-4847
(870) 534-4884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A02944ANP
AR
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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