Individual
RENNIE MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
31152 MILLS CHASE DR, LEWES, DE 19958-5908
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
L1-0052888
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L1-0052888
NURSING LICENSE
DE
Enumeration date
07/01/2019
Last updated
07/01/2019
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