Healthcare Provider Details

I. General information

NPI: 1982374682
Provider Name (Legal Business Name): LAUREN K MILSTEAD RN, MSN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN K GREULICH

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 MEDICAL PKWY STE 250
ANNAPOLIS MD
21401-3098
US

IV. Provider business mailing address

214 POPLAR AVE
EDGEWATER MD
21037-4820
US

V. Phone/Fax

Practice location:
  • Phone: 410-224-2228
  • Fax: 410-266-7778
Mailing address:
  • Phone: 443-534-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberR236960
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR236960
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: