Healthcare Provider Details

I. General information

NPI: 1497909949
Provider Name (Legal Business Name): MONA D MILBERG R.N.C.,F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 19TH ST NW SUITE 410
WASHINGTON DC
20036-3701
US

IV. Provider business mailing address

1145 19TH ST NW SUITE 410
WASHINGTON DC
20036-3701
US

V. Phone/Fax

Practice location:
  • Phone: 202-331-1740
  • Fax: 202-420-7222
Mailing address:
  • Phone: 202-331-1740
  • Fax: 202-420-7222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN34040
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: