Individual
MISS MAXINE ELIZABETH MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
13386 E 42ND DR, YUMA, AZ 85367-6111
(928) 627-8871
Mailing address
13386 E 42ND DR, YUMA, AZ 85367-6111
(928) 345-1833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN150247
AZ
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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