Individual
MRS. CARLENE S MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
206 W. 2ND STREET, DIXON, MO 65459-0940
(573) 759-3030
(573) 759-3131
Mailing address
P.O. DRAWER 9900, DIXON, MO 65459-0940
(573) 759-3030
(573) 759-3131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113217
MO
Other
Enumeration date
06/15/2005
Last updated
11/06/2009
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