Maegan Marissa Milliet
Student in an Organized Health Care Education/Training Program in Austin, TX. Individual provider (NPI-1).
NPI number1164079760
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1164079760
- Entity type
- Individual (NPI-1)
- Name
- Maegan Marissa Milliet
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2019
- Certification date
- Aug 11, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1110 Inner Campus DrAustin, TX 78705
Phone 512-471-3434
Mailing address
4609 Avenue B Unit BAustin, TX 78751-3023
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