Individual
THERESA MARIE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1737 MORRISON RD, FREMONT, OH 43420-4857
(419) 680-5152
Mailing address
140 SAINT PAUL DR, FREMONT, OH 43420-9045
(419) 680-5152
(410) 835-9046
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MM6591437
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
LE-00037106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0460985
—
OH
Enumeration date
07/06/2021
Last updated
02/03/2025
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