Individual
AMY L MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
6334 IDA ST, INDIANAPOLIS, IN 46241-1019
(719) 679-7944
Mailing address
6334 IDA ST, INDIANAPOLIS, IN 46241-1019
(719) 679-7944
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076733
IN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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