Individual
CHRISTY DAWN MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3005337
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000873602
ANTHEM PIN
KY
01
—
3005337
LICENSE
KY
05
—
7100024690
—
KY
Enumeration date
10/12/2007
Last updated
09/16/2014
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