Individual
MS. HENRETTA NESBITT MILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FPMHNP-BC
Contact information
Practice address
105 SADDLERIDGE RD, COLUMBIA, SC 29223-4245
(803) 419-4708
Mailing address
105 SADDLERIDGE RD, COLUMBIA, SC 29223-4245
(803) 419-4708
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R 54531
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
17710
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2011
Last updated
05/18/2012
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