Healthcare Provider Details

I. General information

NPI: 1760349187
Provider Name (Legal Business Name): RACHEL MILLINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3200 BEECHER RD STE MBI
FLINT MI
48532-3613
US

IV. Provider business mailing address

PO BOX 348
MILLINGTON MI
48746-0348
US

V. Phone/Fax

Practice location:
  • Phone: 810-342-5038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number4704330574
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number4704330574
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: