Individual ProviderNicholin McmillanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address836 New York Ave, Brooklyn, NY 11203-2721(718) 856-1136PECOS EnrollmentBased on the most recent information from CMS, provider Nicholin Mcmillan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1972791937Provider TypeIndividualFull NameMcmillan, NicholinCredentialFNPGenderFemaleSole ProprietorYesEnumeration Date10/4/2007Last Updated9/8/2010Contact InformationPractice LocationPractice Address836 New York Ave, Brooklyn, NY 11203-2721Phone(718) 856-1136FaxUnlisted FaxMailing LocationMailing Address836 New York Ave, Brooklyn, NY 11203-2721Phone(718) 856-1136FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense334522New York