1942934831 NPI number — DR. RITA MARIE MILLION RN, PHD

Table of content: DR. RITA MARIE MILLION RN, PHD (NPI 1942934831)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942934831 NPI number — DR. RITA MARIE MILLION RN, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLION
Provider First Name:
RITA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
RN, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942934831
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/15/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
69595 570TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRISWOLD
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
51535-6639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-305-0936
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
719 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLAN
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51537-1341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-979-3792
Provider Business Practice Location Address Fax Number:
712-435-5351
Provider Enumeration Date:
07/15/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WC0400X , with the licence number:  106957 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com