Provider Demographics
NPI:1730388950
Name:MILLS, TANYA LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:LYNN
Last Name:MILLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 2ND ST
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2328
Mailing Address - Country:US
Mailing Address - Phone:707-257-1413
Mailing Address - Fax:707-257-1991
Practice Address - Street 1:1836 2ND ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2328
Practice Address - Country:US
Practice Address - Phone:707-257-1413
Practice Address - Fax:707-257-1991
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29794111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition