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NPI Code Detail

MEDICARE: DR. MILENA ANEZKA MARSHALL DNP, CRNA

MEDICARE: DR. MILENA ANEZKA MARSHALL DNP, CRNA
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
1367500000XCertified Registered Nurse Anesthetist4704306408MI
2163W00000XRegistered Nurse4704306408MI
3163W00000XRegistered Nurse95236926CA

General Provider Information

NPI Number : 1528648920
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MILENA ANEZKA MARSHALL DNP, CRNA
Provider Business Mailing Address
First Line : NMRTC SIGONELLA
Second Line : PSC 836 BOX 2670
City : FPO
State : AE
Zip : 09636
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : NMRTC SIGONELLA
Second Line : PSC 836 BOX 2670
City : FPO
State : AE
Zip : 09636-9998
Country : US
Telephone Number : 909-586-3842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2021
Last Update Date : 06/01/2026

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