Provider Demographics
NPI:1235526278
Name:MILLS, ELIZABETH NALLE (MED, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NALLE
Last Name:MILLS
Suffix:
Gender:F
Credentials:MED, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BOWLING PARK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2548
Mailing Address - Country:US
Mailing Address - Phone:828-279-1735
Mailing Address - Fax:
Practice Address - Street 1:573 FAIRVIEW RD STE 6
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1345
Practice Address - Country:US
Practice Address - Phone:828-279-1735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-16
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-33093163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant