MEDICARE: NICOLE MILLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	879099	NV

General Provider Information

NPI Number	:	1124986971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE MILLS

Provider Business Mailing Address
First Line	:	2880 BONFIRE LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-4390
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 BONFIRE LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-4390
Country	:	US
Telephone Number	:	775-900-7799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ NICOLE MILLS ” Practice Location

Language	Start Address	Practice Location

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