Individual
SHANNEL ANAE MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 SW JEWELL AVE, TOPEKA, KS 66606-1607
(785) 295-5310
Mailing address
2421 NW 94TH ST, TOPEKA, KS 66618-9523
(785) 969-6660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-76689-041
KS
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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