Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 269524 | AZ |
NPI | 1033862461 |
---|---|
Provider Name | Hannah Millard |
First Address | Tempe, AZ 85281-6499 |
Second Address | Tempe, AZ 85281-6499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2022 |
Last Update Date | 27/01/2022 |