Provider Demographics
NPI:1417215047
Name:MILLS, MONICA M (RN,MSN,ANP-BC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:M
Last Name:MILLS
Suffix:
Gender:F
Credentials:RN,MSN,ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SAINT CLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8906
Mailing Address - Country:US
Mailing Address - Phone:302-383-5539
Mailing Address - Fax:
Practice Address - Street 1:100 SAINT CLAIRE DR
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8906
Practice Address - Country:US
Practice Address - Phone:302-383-5539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0027688163W00000X
DELB-0000261363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse