Provider Demographics
NPI:1144277401
Name:MILLS, RHONDA (APN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 RODEWALD DR
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62681-9785
Mailing Address - Country:US
Mailing Address - Phone:217-322-3529
Mailing Address - Fax:217-322-2605
Practice Address - Street 1:108 RODEWALD DR
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62681-9785
Practice Address - Country:US
Practice Address - Phone:217-322-3529
Practice Address - Fax:217-322-2605
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209002298363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL041265679OtherREGISTERED PROF NURSE
IL209002298OtherLIC ADVANCE P.N.
ILK32761Medicare PIN
IL209002298OtherLIC ADVANCE P.N.