Provider Demographics
NPI:1548061302
Name:MILLS, NOLA NAKIA LE'ANN
Entity type:Individual
Prefix:
First Name:NOLA
Middle Name:NAKIA LE'ANN
Last Name:MILLS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12625 AMES PLZ APT 301
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-6924
Mailing Address - Country:US
Mailing Address - Phone:402-547-1819
Mailing Address - Fax:
Practice Address - Street 1:12625 AMES PLZ APT 301
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-6924
Practice Address - Country:US
Practice Address - Phone:402-547-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health