Individual provider · Type 1 NPI
Lacye Jean Mills, BSN, RN
Pediatric Registered Nurse · Cannon Afb, NM
NPI number
1922825819
Active
Practice location
224 West D. L. Ingram Avenue, Bldg 1408
Cannon Afb, NM 88103
Fax (575) 784-2308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | R46793 (NM) |
Pediatric Registered Nurse: Definition to come...
About NPI 1922825819
Lacye Jean Mills, BSN, RN's National Provider Identifier is 1922825819, issued on Sep 23, 2024. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Cannon Afb, NM. The record was last updated on Sep 23, 2024.