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NPI Code Detail

MEDICARE: TAQUITA MILNER NURSE PRACTITIONER

MEDICARE: TAQUITA MILNER NURSE PRACTITIONER
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5014419NC
2363L00000XNurse Practitioner2018037020NC

General Provider Information

NPI Number : 1891355970
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAQUITA MILNER NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 7490 WATERSIDE CROSSING BLVD STE 2A
Second Line :
City : DENVER
State : NC
Zip : 28037-3004
Country : US
Telephone Number :
Fax Number : 704-270-6140
Provider Business Practice Location Address
First Line : 7490 WATERSIDE CROSSING BLVD STE 2A
Second Line :
City : DENVER
State : NC
Zip : 28037-3004
Country : US
Telephone Number : 980-800-9380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 12/17/2025

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Directions to “ TAQUITA MILNER NURSE PRACTITIONER” Practice Location

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