Individual
MRS. LISA G. MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3501 JOHNSON STREET, HOLLYWOOD, FL 33021
(954) 265-5339
(954) 265-3464
Mailing address
1613 HARRISON PKWY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(800) 437-2672
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3032782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306398400
—
FL
Enumeration date
02/24/2006
Last updated
03/21/2013
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