Individual
CORY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, A-GNP-C, RN
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(800) 248-6777
Mailing address
8858 WESTERN AVE, CHARLEVOIX, MI 49720-9344
(231) 675-4312
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704330613
MI
363L00000X
Nurse Practitioner
Primary
4704330613
MI
Other
Enumeration date
06/26/2020
Last updated
10/07/2022
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