Individual
TANIA THERESA MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 SAINT JAMES CT, TALLAHASSEE, FL 32308-5352
(850) 878-0191
Mailing address
6 SHOEMAKER CT, CRAWFORDVILLE, FL 32327-0965
(850) 559-4343
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150588
GA
163WG0600X
Gerontology Registered Nurse
Primary
9167103
FL
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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