Healthcare Provider Details

I. General information

NPI: 1386934040
Provider Name (Legal Business Name): SALLY ANN MILLS PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SALLY ANN CHIADO CNP

II. Dates (important events)

Enumeration Date: 04/14/2011
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ
DAYTON OH
45404-1815
US

IV. Provider business mailing address

PO BOX 933432
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3600
  • Fax: 937-641-5802
Mailing address:
  • Phone: 937-641-4000
  • Fax: 937-641-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP12189
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: