| Doctor Name: | LAURA MILLENER |
| NPI Number: | 1194034330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP-C |
| License Number: | 172835 |
| Business Practice Address: | 4700 Las Vegas Blvd North Family Medicine Clinic Sgof Nellis Afb, NV - 897916601 |
| Business Phone Number: | 7026532232 |
| Business Fax Number: | |
| Mailing Address: | 4700 Las Vegas Blvd North, Family Medicine Clinic Sgof NELLIS AFB |
| State: | NV |
| Postal Code: | 897916601 |
| Phone Number: | 7026532232 |
| Fax Number: | |
| NPI Enumeration Date: | 10/06/2010 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 172835 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |