MEDICARE: LADONNA MICHELLE MILLS NP-C

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	363LF0000X	Family Nurse Practitioner	APRN002459	NV

General Provider Information

NPI Number	:	1578004024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LADONNA MICHELLE MILLS NP-C

Provider Business Mailing Address
First Line	:	1294 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8978
Country	:	US
Telephone Number	:	702-877-1887
Fax Number	:	702-877-4536

Provider Business Practice Location Address
First Line	:	1294 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-8978
Country	:	US
Telephone Number	:	702-877-1887
Fax Number	:	702-877-4536

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

Provider Enumeration Date	:	03/16/2017
Last Update Date	:	01/31/2024

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