Individual
MRS. ANGELA AILYS MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
12 GOSHEN WOODS EST, EDWARDSVILLE, IL 62025-3007
(314) 598-6332
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
115178
MO
367500000X
Certified Registered Nurse Anesthetist
2017002703
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209026806
IL
Other
Enumeration date
09/15/2016
Last updated
04/30/2025
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