Individual
DR. ADRIENNE MILLIGAN PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
36974 BONNIE LAKES RD, CROSSLAKE, MN 56442
(816) 835-0929
Mailing address
36974 BONNIE LAKES RD, CROSSLAKE, MN 56442-3109
(816) 835-0929
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10170
MN
363LP0200X
Pediatric Nurse Practitioner
140607
TX
363LP0200X
Pediatric Nurse Practitioner
2002028643
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428969505
—
MO
Enumeration date
04/25/2006
Last updated
09/28/2023
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