Individual
MRS. BRANDY G MILLINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-6115
Mailing address
605 VEERY ST, CHESAPEAKE, VA 23323-6134
(850) 321-0721
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176940
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024176940
LICENSED NURSE PRACTITIONER
VA
Enumeration date
01/18/2006
Last updated
02/26/2019
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