Healthcare Provider Details

I. General information

NPI: 1609338250
Provider Name (Legal Business Name): CHELSEA ANNE MILLS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 IRON POINT RD
FOLSOM CA
95630-8013
US

IV. Provider business mailing address

3400 DATA DR
RANCHO CORDOVA CA
95670-7956
US

V. Phone/Fax

Practice location:
  • Phone: 916-986-5224
  • Fax: 916-986-5225
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA177015
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: