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Individual

SHANNON MARIE MILLIKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
25 N CANFIELD NILES RD STE 110, AUSTINTOWN, OH 44515-2332
(307) 980-4913
(330) 303-4948
Mailing address
PO BOX 1098, DALLAS, NC 28034-1098
(330) 798-0491
(330) 303-4948

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034239
OH

Other

Enumeration date
06/27/2023
Last updated
01/16/2024
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