Individual
ALYSSA N MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
946 N MAIN ST, CHASE CITY, VA 23924-1139
(434) 372-5141
Mailing address
946 N MAIN ST, CHASE CITY, VA 23924-1139
(434) 372-5141
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001248687
VA
363LF0000X
Family Nurse Practitioner
Primary
0024176873
VA
Other
Enumeration date
09/27/2018
Last updated
11/26/2018
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