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NPI Code Detail

MEDICARE: OLIVIA E MCMILLAN CRNA

MEDICARE: OLIVIA E MCMILLAN CRNA
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
1367500000XCertified Registered Nurse Anesthetist38184TN

General Provider Information

NPI Number : 1609603745
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA E MCMILLAN CRNA
Provider Business Mailing Address
First Line : 826 BELVOIR TER
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37412-2008
Country : US
Telephone Number : 317-869-5938
Fax Number :
Provider Business Practice Location Address
First Line : 2525 DESALES AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-1161
Country : US
Telephone Number : 423-206-5150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 01/13/2026

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Directions to “ OLIVIA E MCMILLAN CRNA” Practice Location

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