| Mark Landon Millwood Jr, PMHNP-BC | |
|
5416 Education Dr, Cheyenne, WY 82009-4094 | |
| (307) 778-3675 | |
| Not Available |
| Full Name | Mark Landon Millwood Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5416 Education Dr, Cheyenne, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437725058 | NPI | - | NPPES |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467547265 PECOS PAC ID: 2163335746 Enrollment ID: O20031110000525 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Landon Millwood Jr, PMHNP-BC Po Box 20970, Cheyenne, WY 82003-7020 Ph: (307) 634-2273 | Mark Landon Millwood Jr, PMHNP-BC 5416 Education Dr, Cheyenne, WY 82009-4094 Ph: (307) 778-3675 |
Christy Marie Burd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2029 Bluegrass Cir Ste 200, Cheyenne, WY 82009 Phone: 307-638-8975 | |
Mrs. Diane E Hattel, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3235 Sparks Rd, Suite 200, Cheyenne, WY 82001 Phone: 307-638-8975 Fax: 307-634-9267 | |
Penny Marie Sanderson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 Dell Range Blvd, Cheyenne, WY 82009 Phone: 307-630-4729 Fax: 307-632-3298 | |
Julian Good, FNP, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 W 29th St, Cheyenne, WY 82001 Phone: 330-763-2936 Fax: 307-637-6852 | |
Daniel Taylor West, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-634-2273 | |
Jannene Sneddon Sebesta, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 214 E 23rd St, Cheyenne, WY 82001 Phone: 307-633-7952 Fax: 307-633-7018 | |
Megan Lynn Bade, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 E Carlson St Ste 102, Cheyenne, WY 82009 Phone: 307-316-5026 |