Healthcare Provider Details

I. General information

NPI: 1386564441
Provider Name (Legal Business Name): MILANI ROSITA WILSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 OAKVIEW RD
HIGH POINT NC
27265-2229
US

IV. Provider business mailing address

1005 OAKVIEW RD
HIGH POINT NC
27265-2229
US

V. Phone/Fax

Practice location:
  • Phone: 472-215-6612
  • Fax:
Mailing address:
  • Phone: 472-215-6612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: