| NPI | 1568878833 |
|---|---|
| Former Name | MISTY SUE MCMILLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.024346) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R204440) |
| 163W00000X Registered Nurse (Licence: OH RN.361290-) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2019-03-06 |