| Doctor Name: | NATHAN ANDREW MILENDER |
| NPI Number: | 1699104711 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, FNP |
| License Number: | R-165347-2 |
| Business Practice Address: | 1750 Robert St S West Saint Paul, MN - 551183919 |
| Business Phone Number: | 6514556671 |
| Business Fax Number: | |
| Mailing Address: | 8586 Lake Jane Trl N, LAKE ELMO |
| State: | MN |
| Postal Code: | 550429516 |
| Phone Number: | 6517734816 |
| Fax Number: | |
| NPI Enumeration Date: | 11/08/2013 |
| NPI Last Update Date: | 05/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R-165347-2 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |