MEDICARE: MRS. SHELLEY NEFF MILANOVICH CRNP- ACUTE CARE

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	363LA2100X	Acute Care Nurse Practitioner	SP009908	PA

General Provider Information

NPI Number	:	1366595696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHELLEY NEFF MILANOVICH CRNP- ACUTE CARE

Provider Business Mailing Address
First Line	:	PO BOX 1549
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16003-1549
Country	:	US
Telephone Number	:	724-284-4060
Fax Number	:	724-284-4144

Provider Business Practice Location Address
First Line	:	389 NEW CASTLE RD
Second Line	:
City	:	BUTLER
State	:	PA
Zip	:	16001-1743
Country	:	US
Telephone Number	:	724-282-2216
Fax Number	:	724-282-1861

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

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	12/14/2016

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