Healthcare Provider Details

I. General information

NPI: 1255637492
Provider Name (Legal Business Name): BRANDI SAMANTHA MILLS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2011
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 CADILLAC BLVD
AKRON OH
44320-2860
US

IV. Provider business mailing address

1137 CADILLAC BLVD
AKRON OH
44320-2860
US

V. Phone/Fax

Practice location:
  • Phone: 330-564-6296
  • Fax:
Mailing address:
  • Phone: 330-546-6296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License NumberRN.442343
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: