Provider Demographics
NPI:1295269637
Name:MILLS, DIANNA LYNN (RN)
Entity type:Individual
Prefix:
First Name:DIANNA
Middle Name:LYNN
Last Name:MILLS
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:HC 66 BOX 485
Mailing Address - Street 2:
Mailing Address - City:MOYERS
Mailing Address - State:OK
Mailing Address - Zip Code:74557-9715
Mailing Address - Country:US
Mailing Address - Phone:580-317-9500
Mailing Address - Fax:580-317-9553
Practice Address - Street 1:1405 E KIRK ST
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:OK
Practice Address - Zip Code:74743-3603
Practice Address - Country:US
Practice Address - Phone:580-317-9500
Practice Address - Fax:580-317-9553
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic