Provider Demographics
NPI:1093602682
Name:MILKO, CRYSTAL (LPN)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:
Last Name:MILKO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1262 BANNING RD
Mailing Address - Street 2:
Mailing Address - City:DAWSON
Mailing Address - State:PA
Mailing Address - Zip Code:15428-1014
Mailing Address - Country:US
Mailing Address - Phone:724-972-1812
Mailing Address - Fax:
Practice Address - Street 1:2115 TREBELLA CIR
Practice Address - Street 2:
Practice Address - City:ROSTRAVER TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15012-3511
Practice Address - Country:US
Practice Address - Phone:724-243-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN301825164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse