Individual
MRS. CELIA CLOTILDA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
160 E 53RD ST # 10022, NEW YORK, NY 10022-5243
(212) 610-0488
Mailing address
11509 217TH ST, CAMBRIA HEIGHTS, NY 11411-1115
(917) 403-5816
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309094
NY
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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