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NPI Code Detail

MEDICARE: STEPHANIE N MILLS RN

MEDICARE: STEPHANIE N MILLS RN
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
1164W00000XLicensed Practical Nurse124820OH
2163W00000XRegistered Nurse407728OH

General Provider Information

NPI Number : 1841423654
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE N MILLS RN
Provider Business Mailing Address
First Line : 81 E 242ND ST
Second Line :
City : EUCLID
State : OH
Zip : 44123-1149
Country : US
Telephone Number : 440-339-7809
Fax Number :
Provider Business Practice Location Address
First Line : 81 E 242ND ST
Second Line :
City : EUCLID
State : OH
Zip : 44123-1149
Country : US
Telephone Number : 440-339-7809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2009
Last Update Date : 06/19/2016

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Directions to “ STEPHANIE N MILLS RN” Practice Location

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