Individual
MS. KATRINA G. MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1230 YORK AVE RM 420, NEW YORK, NY 10065-6399
(212) 327-7546
Mailing address
150 E 32ND ST, 2ND FLOOR, NEW YORK, NY 10016-6058
(646) 754-2454
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
F307360-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405546
NY
Other
Enumeration date
06/30/2015
Last updated
09/18/2024
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