Individual
REBECCA LYN MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1496 W HOOSIER BLVD, PERU, IN 46970-3727
(765) 472-5043
Mailing address
1496 W HOOSIER BLVD, PERU, IN 46970-3727
(765) 472-5043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28168564C
IN
163WC0400X
Case Management Registered Nurse
Primary
28168564A
IN
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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