Provider Demographics
NPI:1225332216
Name:MCMILLON, DARLENE M (FNP)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:M
Last Name:MCMILLON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:M
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11055 W APLOMADO DR
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85653-8194
Mailing Address - Country:US
Mailing Address - Phone:520-240-3945
Mailing Address - Fax:
Practice Address - Street 1:3785 W INA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-2247
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN090813363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily