Provider Demographics
NPI:1598917452
Name:TREMLETT, MILLIE (NP)
Entity Type:Individual
Prefix:
First Name:MILLIE
Middle Name:
Last Name:TREMLETT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1923 CEDAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:WHITE BLUFF
Mailing Address - State:TN
Mailing Address - Zip Code:37187-5311
Mailing Address - Country:US
Mailing Address - Phone:615-347-0495
Mailing Address - Fax:
Practice Address - Street 1:1923 CEDAR HILL RD
Practice Address - Street 2:
Practice Address - City:WHITE BLUFF
Practice Address - State:TN
Practice Address - Zip Code:37187-5311
Practice Address - Country:US
Practice Address - Phone:615-347-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily