| Doctor Name: | ROBERT ALAN MILLETTE |
| NPI Number: | 1023493913 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 662207 |
| Business Practice Address: | 14161 Holiday Rd Spc 87 Redding, CA - 960039401 |
| Business Phone Number: | 5309170902 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1122, SHASTA LAKE |
| State: | CA |
| Postal Code: | 960191122 |
| Phone Number: | 5309170902 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2015 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0800X |
| License Number: | 662207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neuroscience |
| Taxonomy Definition: | |