Provider Demographics
NPI:1164013447
Name:HAYDEN, MILANIA (RN)
Entity Type:Individual
Prefix:
First Name:MILANIA
Middle Name:
Last Name:HAYDEN
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:N29W30509 RED HAWK RD
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-4289
Mailing Address - Country:US
Mailing Address - Phone:262-806-2121
Mailing Address - Fax:
Practice Address - Street 1:N29W30509 RED HAWK RD
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-4289
Practice Address - Country:US
Practice Address - Phone:262-806-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI256618-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse