Individual
SHELLI MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1707 BETHANY RD, ANDERSON, IN 46012-9669
(765) 393-9083
Mailing address
1707 BETHANY RD, ANDERSON, IN 46012-9669
(765) 393-9083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27049387A
IN
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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