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NPI Code Detail

MEDICARE: MARCHELLE MILNER

MEDICARE: MARCHELLE MILNER
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
1363LP0200XPediatric Nurse Practitioner95025762CA

General Provider Information

NPI Number : 1982481560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCHELLE MILNER
Provider Business Mailing Address
First Line : 11441 216TH ST APT 17
Second Line :
City : LAKEWOOD
State : CA
Zip : 90715-2553
Country : US
Telephone Number : 909-800-3594
Fax Number :
Provider Business Practice Location Address
First Line : 3835 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-5303
Country : US
Telephone Number : 562-473-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2023
Last Update Date : 09/08/2023

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Directions to “ MARCHELLE MILNER ” Practice Location

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