MEDICARE: RICHINA LUKES-MILLEDGE, NP ADULT HEALTH PC

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	363LA2200X	Adult Health Nurse Practitioner

General Provider Information

NPI Number	:	1356062061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHINA LUKES-MILLEDGE, NP ADULT HEALTH PC

Provider Business Mailing Address
First Line	:	273 WALT WHITMAN RD STE 190
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-4149
Country	:	US
Telephone Number	:	631-824-6648
Fax Number	:

Provider Business Practice Location Address
First Line	:	506B WALT WHITMAN RD
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-2109
Country	:	US
Telephone Number	:	631-824-6648
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	MS. RITCHINA LUKES-MILLEDGE
Credential	:	NP
Telephone Number	:	631-824-6648

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	06/12/2024

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