Individual
CONSTANCE A MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
37 FRIEND ST, LYNN, MA 01902
(781) 715-6608
Mailing address
37 FRIEND ST, LYNN, MA 01902-3068
(781) 715-6608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
138247
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0394271
—
MA
Enumeration date
09/26/2006
Last updated
05/15/2019
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