Healthcare Provider Details

I. General information

NPI: 1710130026
Provider Name (Legal Business Name): BARBARA MCMILLAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 10/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 FRENCHMEN ST
NEW ORLEANS LA
70122-4014
US

IV. Provider business mailing address

4925 FRENCHMEN ST
NEW ORLEANS LA
70122-4014
US

V. Phone/Fax

Practice location:
  • Phone: 504-309-1704
  • Fax:
Mailing address:
  • Phone: 504-309-1704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN042585
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: