Provider Demographics
NPI:1003212473
Name:MILLIGAN, SANDRA (RN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 RED GROUSE CT
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44511-3665
Mailing Address - Country:US
Mailing Address - Phone:330-270-7473
Mailing Address - Fax:
Practice Address - Street 1:400 HILLTOP BLVD
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-1227
Practice Address - Country:US
Practice Address - Phone:330-533-9806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH371518163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool