Provider Demographics
NPI:1588157408
Name:MCMILLEN, WHITNEY LYNNE WATSON (APRN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:LYNNE WATSON
Last Name:MCMILLEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:WHITNEY
Other - Middle Name:LYNNE
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2325 W 65TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:KS
Mailing Address - Zip Code:66208-1925
Mailing Address - Country:US
Mailing Address - Phone:913-317-6318
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8501
Practice Address - Country:US
Practice Address - Phone:913-588-6662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76571364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist