Basic Information
| Provider Information | |||||||||
| NPI: | 1043649296 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MILNE | ||||||||
| FirstName: | SUSAN | ||||||||
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| Credential: | CNS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1144 DUBLIN RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432151039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142340200 | ||||||||
| FaxNumber: | 6142340201 | ||||||||
| Practice Location | |||||||||
| Address1: | 1144 DUBLIN RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432151039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142340200 | ||||||||
| FaxNumber: | 6142340201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2013 | ||||||||
| LastUpdateDate: | 11/08/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364S00000X | 03695-NS | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
No ID Information.