Individual
EMILY MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 647-5305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704361829
MI
363LF0000X
Family Nurse Practitioner
Primary
71008070A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016041
—
IN
Enumeration date
04/19/2018
Last updated
04/04/2024
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