Provider Demographics
NPI:1003266198
Name:MILTON, CATHERINE (APN)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:
Last Name:MILTON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 BRANCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-1048
Mailing Address - Country:US
Mailing Address - Phone:845-371-6007
Mailing Address - Fax:
Practice Address - Street 1:134 BRANCHWOOD LN
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-1048
Practice Address - Country:US
Practice Address - Phone:845-371-6007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333597363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily