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NPI Code Detail

MEDICARE: MRS. LAURAL MILLS CNP

MEDICARE: MRS. LAURAL MILLS CNP
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
1363LF0000XFamily Nurse PractitionerCP000847SD

General Provider Information

NPI Number : 1871918748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURAL MILLS CNP
Provider Business Mailing Address
First Line : 225 E CENTENNIAL ST
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-7636
Country : US
Telephone Number : 605-341-6217
Fax Number :
Provider Business Practice Location Address
First Line : 677 CATHEDRAL DR
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6018
Country : US
Telephone Number : 605-343-9224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2014
Last Update Date : 02/28/2014

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