Basic Information
Provider Information
NPI: 1902153240
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILNER
FirstName: ANNA
MiddleName: MARIA BLEM
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 920 E 28TH ST
Address2: STE 700
City: MINNEAPOLIS
State: MN
PostalCode: 554071163
CountryCode: US
TelephoneNumber: 6125732231
FaxNumber: 6125732274
Practice Location
Address1: 920 E 28TH ST STE 700
Address2:  
City: MINNEAPOLIS
State: MN
PostalCode: 554071163
CountryCode: US
TelephoneNumber: 9525677400
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/06/2012
LastUpdateDate: 12/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XR1656068MNN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
207RS0012X2033MNN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001X2033MNY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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