Individual
TRACY MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2500 E 22ND ST, CLEVELAND, OH 44115-3204
(216) 931-1413
Mailing address
1205 MONUMENT RD, STE 301, JACKSONVILLE, FL 32225-6482
(216) 931-1413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN9352533
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
291434
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291434
OH RN LICENSE
OH
Enumeration date
07/15/2008
Last updated
01/24/2019
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