Doctor Name: | MELINDA R MILLIKEN |
NPI Number: | 1013210764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SP007732 |
Business Practice Address: | 100 Lancaster Avenue Suite 230 Wynnewood, PA - 19096 |
Business Phone Number: | 6106423796 |
Business Fax Number: | |
Mailing Address: | 100 Lancaster Avenue, Suite 230 WYNNEWOOD |
State: | PA |
Postal Code: | 19096 |
Phone Number: | 6106423796 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2010 |
NPI Last Update Date: | 12/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | SP007732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |