Individual
STACEY N MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
483 COURT STREET, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Mailing address
PO BOX 609, ELIZABETH, WV 26143-0609
(304) 275-3301
(304) 275-4798
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
78599
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78599
LICENSE
WV
Enumeration date
12/12/2013
Last updated
06/16/2018
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