MEDICARE: MR. JOSHUA MAR MILAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	897778	NV

General Provider Information

NPI Number	:	1194668061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSHUA MAR MILAN RN

Provider Business Mailing Address
First Line	:	4848 CRYSTAL FIELD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-7252
Country	:	US
Telephone Number	:	702-981-2742
Fax Number	:

Provider Business Practice Location Address
First Line	:	4848 CRYSTAL FIELD ST
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-7252
Country	:	US
Telephone Number	:	702-981-2742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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