DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAYLE MILLIS, LPN

Active Sole Proprietor

Emotionally Disturbed Children Residential Treatment · OAK CREEK, WI

Registration Details

NPI Number
1932574670
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2015 (10.373000835956 yrs)
Last Updated
Dec 7, 2015
Licenses
0013030 (WI)
0015707 (WI)
0014938 (WI)
0013357 (WI)
0015444 (WI)
Sole Proprietor
Yes

Practice Information

Address
3260 E CAROLLTON DR
OAK CREEK, WI, 531544165
Browse WI providers · Browse ZIP 53154
Phone
2629892366
Fax
4143045866
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.