Individual
LYNN MARIE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
1225 FORT UNION BLVD, SUITE 200, MIDVALE, UT 84047-1889
(801) 233-4400
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 442-4950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
268113-4405
UT
Other
Enumeration date
01/29/2007
Last updated
03/04/2008
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