Mavis Frances Millet-Terry, RN
Nurse Practitioner in Bronx, NY. Individual provider (NPI-1).
NPI number1699064907
StatusActive
Last updated in NPPESOct 29, 2020
Details
- NPI
- 1699064907
- Entity type
- Individual (NPI-1)
- Name
- Mavis Frances Millet-Terry
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 7, 2011
- Certification date
- Oct 29, 2020
- Last updated
- Oct 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F337789-1 | NY | Yes |
| 163W00000X | Registered Nurse | 609945 | NY |
Practice location
11 West 172 St Apt 3bBronx, NY 10452
Phone 718-299-5072
Mailing address
11 West 172 St Apt 3bBronx, NY 10452
Phone 718-299-5072
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