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NPI Code Detail

MEDICARE: MRS. ANDREA MILBURN MS

MEDICARE: MRS. ANDREA MILBURN MS
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
1235Z00000XSpeech-Language PathologistSL008400PA
2235Z00000XSpeech-Language Pathologist220200503VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821179680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA MILBURN MS
Provider Business Mailing Address
First Line : 463 E WASHINGTON ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4853
Country : US
Telephone Number : 540-433-3100
Fax Number : 540-432-6989
Provider Business Practice Location Address
First Line : 463 E WASHINGTON ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4853
Country : US
Telephone Number : 540-433-3100
Fax Number : 540-432-6989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 08/30/2011

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Directions to “ MRS. ANDREA MILBURN MS” Practice Location

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