Individual
MAUREEN SUSAN MILAUSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2750 TILLETT RD SW, ROANOKE, VA 24015-4034
(540) 357-3743
Mailing address
2105 ELECTRIC RD STE 101, ROANOKE, VA 24018-2317
(540) 799-7623
(540) 799-7664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024176955
VA
363LF0000X
Family Nurse Practitioner
2018007490
VA
Other
Enumeration date
10/11/2018
Last updated
02/15/2023
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