Individual
WILLIAM PATRICK MILLICAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3400 WAKE FOREST RD, RALEIGH, NC 27609-7317
(919) 954-3765
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0795
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
291684
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
114358
NC
Other
Enumeration date
12/05/2016
Last updated
01/20/2017
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