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NPI Code Detail

MEDICARE: SANDRA PAULINE MILLS CNM

MEDICARE:   SANDRA PAULINE MILLS  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife96190OK
2367A00000XAdvanced Practice Midwife1232830TX

General Provider Information

NPI Number : 1134634298
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA PAULINE MILLS CNM
Provider Business Mailing Address
First Line : 1101 N PROGRESS AVE
Second Line :
City : SILOAM SPRINGS
State : AR
Zip : 72761-4343
Country : US
Telephone Number : 479-549-4228
Fax Number :
Provider Business Practice Location Address
First Line : 1261 E TULSA AVE
Second Line :
City : KANSAS
State : OK
Zip : 74347-7026
Country : US
Telephone Number : 918-868-2175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2017
Last Update Date : 05/19/2026

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Directions to “ SANDRA PAULINE MILLS CNM” Practice Location

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