Individual
MRS. HEIDI ROSANNA MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
550 SUMMIT AVE, JERSEY CITY, NJ 07306
(201) 209-1802
(201) 604-7764
Mailing address
550 SUMMIT AVE, JERSEY CITY, NJ 07306-2707
(201) 209-1802
(201) 604-7764
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00924300
NJ
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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