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Individual

ANDREA LYNN MILANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3550
(774) 442-6715
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2348335
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2348335
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110166709A
MA
Enumeration date
12/19/2015
Last updated
03/21/2022
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