Provider Demographics
NPI:1841934122
Name:MILLNER, TOSHEENA (HIS)
Entity type:Individual
Prefix:
First Name:TOSHEENA
Middle Name:
Last Name:MILLNER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 TURNER ASHBY RD
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-0648
Mailing Address - Country:US
Mailing Address - Phone:276-790-7518
Mailing Address - Fax:
Practice Address - Street 1:215 PIEDMONT PL
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4176
Practice Address - Country:US
Practice Address - Phone:434-233-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-23
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2101002579237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist