Individual
PATRICIA M MILFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1325 WRIGHT AVE, CROWLEY, LA 70526-2226
(337) 788-2014
Mailing address
1325 WRIGHT AVE, CROWLEY, LA 70526-2226
(337) 788-2014
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
857070
TX
363LF0000X
Family Nurse Practitioner
AP142282
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
210942
LA
363LG0600X
Gerontology Nurse Practitioner
AP142282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2532413
—
LA
Enumeration date
07/16/2019
Last updated
07/02/2021
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