Individual
KATHERINE NETTLES MILLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
4521 LAURELWOOD DR, ROANOKE, VA 24018-1711
(614) 323-5494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177735
VA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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