Individual
DOROTHY MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
109 MAIN STREET, BRAYMER, MO 64624-0036
(660) 645-2218
(660) 645-2820
Mailing address
109 MAIN STREET, BRAYMER, MO 64624-0036
(660) 645-2218
(660) 645-2820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
153726
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425991304
—
MO
Enumeration date
03/07/2006
Last updated
09/08/2011
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