Individual
MRS. VALORIE L MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1205 PROVIDENT DR UNIT A, WARSAW, IN 46580-3265
(574) 269-8300
Mailing address
2025 S PAXTON DR, WARSAW, IN 46580-6421
(217) 840-7059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28224485A
IN
363LA2100X
Acute Care Nurse Practitioner
41273472
IL
363LA2100X
Acute Care Nurse Practitioner
71012486A
IN
Other
Enumeration date
09/05/2019
Last updated
02/21/2023
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