Provider Demographics
NPI:1295569192
Name:MILLS, EILEEN (RN)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4382 BROWNSTONE LN
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5553
Mailing Address - Country:US
Mailing Address - Phone:216-276-2606
Mailing Address - Fax:216-276-2606
Practice Address - Street 1:4382 BROWNSTONE LN
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5553
Practice Address - Country:US
Practice Address - Phone:216-276-2606
Practice Address - Fax:216-276-2606
Is Sole Proprietor?:No
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH383094163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse