Provider Demographics
NPI:1922326990
Name:MCMILLAN, YOLONDA LUCINDA
Entity Type:Individual
Prefix:
First Name:YOLONDA
Middle Name:LUCINDA
Last Name:MCMILLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ABBEY RD
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12538-2600
Mailing Address - Country:US
Mailing Address - Phone:845-838-4097
Mailing Address - Fax:
Practice Address - Street 1:10 ABBEY RD
Practice Address - Street 2:
Practice Address - City:HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:12538-2600
Practice Address - Country:US
Practice Address - Phone:845-838-4097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287182164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse