Provider Demographics
NPI:1174386940
Name:MILL, AUSTIN (ACNP-BC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:MILL
Suffix:
Gender:M
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:AUSTIN
Other - Middle Name:
Other - Last Name:MILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9024 E BLANCHE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2754
Mailing Address - Country:US
Mailing Address - Phone:480-262-0249
Mailing Address - Fax:
Practice Address - Street 1:10210 N 92ND ST STE 104
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4531
Practice Address - Country:US
Practice Address - Phone:480-493-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ303385363LA2100X, 363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily