Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | UP006215W | PA |
NPI | 1093775058 |
---|---|
Provider Name | Linda Millbauer |
First Address | Monroeville, PA 15146-2525 |
Second Address | Monroeville, PA 15146-2525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 25/03/2021 |