Individual
MRS. BREANNA MILLSAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5870 FULTON DR NW STE B, CANTON, OH 44718-1782
(330) 574-4137
(330) 975-6044
Mailing address
2011 49TH ST NE, CANTON, OH 44705-3024
(330) 209-6894
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0033978
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G178272
IA
Other
Enumeration date
08/11/2022
Last updated
07/02/2025
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