MEDICARE: NATASHA MCMILLIAN PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN.CNP.0031023	OH

General Provider Information

NPI Number	:	1295460145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA MCMILLIAN PMHNP-BC

Provider Business Mailing Address
First Line	:	500 HARRIS DR
Second Line	:
City	:	OXFORD
State	:	OH
Zip	:	45056-3640
Country	:	US
Telephone Number	:	513-529-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 HARRIS DR
Second Line	:
City	:	OXFORD
State	:	OH
Zip	:	45056-3640
Country	:	US
Telephone Number	:	513-529-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2022
Last Update Date	:	02/28/2023

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