Provider Demographics
NPI:1083746408
Name:MCMILLION, BARBARA C (RNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:MCMILLION
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:THIELLS
Mailing Address - State:NY
Mailing Address - Zip Code:10984-1431
Mailing Address - Country:US
Mailing Address - Phone:718-920-7373
Mailing Address - Fax:718-798-5095
Practice Address - Street 1:111 EAST 210TH STREET
Practice Address - Street 2:MMC - DEPT. OF MEDICINE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301822363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner