Provider Demographics
NPI:1235565367
Name:MILLIGAN, DANA BRIANNE (APRN)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:BRIANNE
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 US HIGHWAY 231 N
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:KY
Mailing Address - Zip Code:42347-9402
Mailing Address - Country:US
Mailing Address - Phone:270-504-7060
Mailing Address - Fax:270-504-7130
Practice Address - Street 1:1041 US HIGHWAY 231 N
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:KY
Practice Address - Zip Code:42347-9402
Practice Address - Country:US
Practice Address - Phone:270-504-7060
Practice Address - Fax:270-504-7130
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY54330363LF0000X
KY3008378363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily