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NPI Code Detail

MEDICARE: MS. BARCLAY K MILTON APRN, CNP

MEDICARE: MS. BARCLAY K MILTON APRN, CNP
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
1363L00000XNurse Practitioner209000932IL
2363LF0000XFamily Nurse Practitioner209000932IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00240495OTHERRAILROAD MEDICARE
2433990OTHERMEDICARE GROUP

General Provider Information

NPI Number : 1639186216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARCLAY K MILTON APRN, CNP
Provider Business Mailing Address
First Line : 611 W PARK ST
Second Line :
City : URBANA
State : IL
Zip : 61801-2501
Country : US
Telephone Number : 217-383-3311
Fax Number :
Provider Business Practice Location Address
First Line : 1818 E WINDSOR RD
Second Line :
City : URBANA
State : IL
Zip : 61802-9566
Country : US
Telephone Number : 217-255-9655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 10/02/2025

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