Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 287205 | NC |
N | 363LP0222X | Nurse Practitioner Pediatrics (Critical Care) | 5014199 | NC |
NPI | 1447835632 |
---|---|
Provider Name | Ms. Renee Ann Milroy |
First Address | Apex, NC 27502-4307 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2021 |
Last Update Date | 05/10/2021 |