Provider Demographics
NPI:1942012067
Name:MCMILLEN, MARILYNN J
Entity type:Individual
Prefix:
First Name:MARILYNN
Middle Name:J
Last Name:MCMILLEN
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 1:9354 ROAD 24
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-3230
Mailing Address - Country:US
Mailing Address - Phone:308-254-3874
Mailing Address - Fax:
Practice Address - Street 1:9354 ROAD 24
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-3230
Practice Address - Country:US
Practice Address - Phone:308-254-3874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider