Individual
ANDREW PAUL MCMILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2601 E SILVERWOOD DR, PHOENIX, AZ 85048-9288
(909) 559-0103
Mailing address
2601 E SILVERWOOD DR, PHOENIX, AZ 85048-9288
(909) 559-0103
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP046102
AZ
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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