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NPI Code Detail

MEDICARE: KAREN C MILLARD NP

MEDICARE: KAREN C MILLARD NP
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
1363LA2100XAcute Care Nurse PractitionerNP2113302FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336136183
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN C MILLARD NP
Provider Business Mailing Address
First Line : 119 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5779
Country : US
Telephone Number : 813-681-5551
Fax Number :
Provider Business Practice Location Address
First Line : 119 OAKFIELD DR
Second Line :
City : BRANDON
State : FL
Zip : 33511-5779
Country : US
Telephone Number : 813-681-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 03/21/2023

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