Individual
ANNETTE CLAIR MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 824-7791
(918) 824-6316
Mailing address
18780 S HICKORY PL, CLAREMORE, OK 74019-0378
(918) 640-1652
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
731884
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R0088519
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700040E
—
OK
05
—
200203250A
—
OK
Enumeration date
03/07/2008
Last updated
03/05/2025
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