Individual
BONNIE MILTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1015 MICHIGAN AVE, LOGANSPORT, IN 46947-1526
(574) 722-5151
(574) 739-1414
Mailing address
800 FULTON ST, LOGANSPORT, IN 46947-1577
(574) 722-5151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71006863A
IN
Other
Enumeration date
02/13/2017
Last updated
02/21/2017
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