Individual
MAVIS FRANCES MILLET-TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11 WEST 172 ST APT 3B, BRONX, NY 10452
(718) 299-5072
Mailing address
11 WEST 172 ST APT 3B, BRONX, NY 10452
(718) 299-5072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
609945
NY
363L00000X
Nurse Practitioner
Primary
F337789-1
NY
Other
Enumeration date
04/07/2011
Last updated
10/29/2020
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