MEDICARE: MRS. KATHRYN ANN MILLIGAN RN-BC

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	RN.245855	OH

General Provider Information

NPI Number	:	1821538596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN ANN MILLIGAN RN-BC

Provider Business Mailing Address
First Line	:	12395 MCCRACKEN RD STE H
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2946
Country	:	US
Telephone Number	:	216-299-0045
Fax Number	:

Provider Business Practice Location Address
First Line	:	12395 MCCRACKEN RD STE H
Second Line	:
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-2946
Country	:	US
Telephone Number	:	216-299-0045
Fax Number	:

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

Provider Enumeration Date	:	03/01/2017
Last Update Date	:	03/01/2017

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