Provider Demographics
NPI:1568289452
Name:VANMILLIGAN, APRIL DOLORES (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:DOLORES
Last Name:VANMILLIGAN
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 S BOO RD APT 203
Mailing Address - Street 2:
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-8965
Mailing Address - Country:US
Mailing Address - Phone:219-775-5781
Mailing Address - Fax:
Practice Address - Street 1:71 W 156TH ST STE 102
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-4259
Practice Address - Country:US
Practice Address - Phone:708-825-9683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209030567363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health