Individual
ANNELISE MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
72780 COUNTRY CLUB DR STE 100, RANCHO MIRAGE, CA 92270-4150
(760) 773-9750
(760) 773-9294
Mailing address
PO BOX 2366, RANCHO MIRAGE, CA 92270-1086
(760) 773-9750
(760) 773-9294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95031774
CA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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