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Individual

MS. JOHANNA MILBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNP

Contact information

Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2284817
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2284817
MA
363LG0600X
Gerontology Nurse Practitioner
RN2284817
MA
363LW0102X
Women's Health Nurse Practitioner
RN2284817
MA

Other

Enumeration date
12/11/2014
Last updated
05/09/2023
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