| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLY ANN MILLAN | 1831808922 | 2022-11-17 |
Carly Ann Millan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831808922. Registration indicates Carly Ann Millan is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Carly Ann Millan FNP |
| Practice Office Address | 5901 W CENTURY BLVD STE 750 LOS ANGELES, CA US |
| Practice Office Telephone | 8888803451 |
| Mailing Address | 5901 W CENTURY BLVD STE 750 LOS ANGELES, CA 900455443 US |
| Business Telephone | 8888803451 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3540 Wilshire Blvd Apt 1118 | Los Angeles, CA 900103942 | 2134652643 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95023242
CA |