Healthcare Provider Details
I. General information
NPI: 1609552538
Provider Name (Legal Business Name): NORA EILEEN MILLS AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2023
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
149 NORTH ST
WATERVILLE ME
04901-4974
US
IV. Provider business mailing address
211 MAIN ST.
WATERVILLE ME
04901
US
V. Phone/Fax
- Phone: 207-873-1098
- Fax: 207-861-5461
- Phone: 207-877-3470
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | CNP231250 |
| License Number State | ME |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | CNP231250 |
| License Number State | ME |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | CNP231250 |
| License Number State | ME |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | CNP231250 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: