Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 93772 | CO |
NPI | 1013981372 |
---|---|
Provider Name | Margaret Mary Milano |
First Address | Masonville, CO 80541-0342 |
Second Address | Masonville, CO 80541-8054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7937725 | (05) | CO |
P85636 | (02) | CO |