Individual
AVA MILOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
317 FOXON RD, EAST HAVEN, CT 06513-2038
(203) 529-3271
Mailing address
317 FOXON RD, EAST HAVEN, CT 06513-2038
(203) 529-3271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F306843-1
NY
363LG0600X
Gerontology Nurse Practitioner
11479
CT
Other
Enumeration date
01/11/2019
Last updated
06/27/2025
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