Individual
MS. GLORIA MILBOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
203 MAIN STREET, LOUISVILLE, NE 68037
(402) 354-9050
(402) 234-5202
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1070
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024994800
—
NE
05
—
276484
—
NE
Enumeration date
08/30/2006
Last updated
12/20/2013
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