Provider Demographics
NPI:1780954214
Name:MILLAN, DONNA L (FNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:L
Last Name:MILLAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 TONGASS DR
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9416
Mailing Address - Country:US
Mailing Address - Phone:907-785-3333
Mailing Address - Fax:907-785-3136
Practice Address - Street 1:105 TOTEM WAY
Practice Address - Street 2:
Practice Address - City:KAKE
Practice Address - State:AK
Practice Address - Zip Code:99830-0605
Practice Address - Country:US
Practice Address - Phone:907-785-3333
Practice Address - Fax:907-785-3136
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2011-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily