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NPI Code Detail

MEDICARE: VALARIE V. MILLS CNS

MEDICARE: VALARIE V. MILLS CNS
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
1364S00000XClinical Nurse Specialist500081TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144297185
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALARIE V. MILLS CNS
Provider Business Mailing Address
First Line : 1401 ANITA ST
Second Line :
City : PUEBLO
State : CO
Zip : 81001-2122
Country : US
Telephone Number : 719-225-6510
Fax Number :
Provider Business Practice Location Address
First Line : 1401 ANITA ST
Second Line :
City : PUEBLO
State : CO
Zip : 81001-2122
Country : US
Telephone Number : 719-225-6510
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 10/06/2021

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