Individual
HEATHER MILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5000
Mailing address
621 JAIME LYNN CT, EDWARDSVILLE, IL 62025-8000
(319) 594-0292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
746009
NY
Other
Enumeration date
06/22/2023
Last updated
03/03/2025
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