Healthcare Provider Details

I. General information

NPI: 1730879313
Provider Name (Legal Business Name): RACHEL NICOLE MILLS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 N PARHAM RD STE 315
RICHMOND VA
23294-4424
US

IV. Provider business mailing address

2810 N PARHAM RD STE 315
RICHMOND VA
23294-4424
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-8327
  • Fax:
Mailing address:
  • Phone: 804-288-8327
  • Fax: 804-282-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0024187319
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001287629
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: