Provider Demographics
NPI:1083950620
Name:MILLENDER, EUGENIA (ARNP)
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:
Last Name:MILLENDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 GREENWOOD AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2453
Mailing Address - Country:US
Mailing Address - Phone:561-803-8882
Mailing Address - Fax:
Practice Address - Street 1:5205 GREENWOOD AVE STE 110
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2453
Practice Address - Country:US
Practice Address - Phone:561-803-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-01
Last Update Date:2013-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3392262363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health