Individual
MRS. MARCEY KAY MILLAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-3000
Mailing address
920 34TH AVE, MOLINE, IL 61265-7122
(563) 271-8594
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209025306
IL
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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