Doctor Name: | BETTY TEMPLES MILL |
NPI Number: | 1750669537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | 0024110321 |
Business Practice Address: | 51 William B Graham Ct Kilmarnock, VA - 224823852 |
Business Phone Number: | 8044350575 |
Business Fax Number: | 8044359017 |
Mailing Address: | Po Box 1694, KILMARNOCK |
State: | VA |
Postal Code: | 224821694 |
Phone Number: | 8044350575 |
Fax Number: | 8044359017 |
NPI Enumeration Date: | 07/28/2011 |
NPI Last Update Date: | 07/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 0024110321 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |