Mills, Marcy B

Mills, Marcy B is an individual health care provider with primary practice located at 1575 Washington St , Watertown NY 13601-9367. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mills, Marcy B can be contacted via phone (315) 785-4155.

Contact Information

Primary practice address
1575 Washington St Watertown NY 13601-9367
Fax: (315) 779-5066
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F300062 New York

Profile Details

NPI number 1831102748
LBN Legal business name Mills, Marcy B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831102748 NPPES
New York MEDICAID 00354316

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