Individual
KRISTEN LEIGH MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1017 17TH ST, WOODWARD, OK 73801-3009
(580) 256-0900
(580) 256-0905
Mailing address
1017 17TH ST, WOODWARD, OK 73801-3009
(580) 256-0900
(580) 256-0905
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
86479
OK
363LF0000X
Family Nurse Practitioner
Primary
86479
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200848540A
—
OK
Enumeration date
12/06/2018
Last updated
01/19/2021
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