Provider Demographics
NPI:1235782863
Name:MILAM, VICTORIA HALLE (NNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:HALLE
Last Name:MILAM
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:COTTEN
Other - Last Name:HALLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:842 SWANDYKE CT
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-9080
Mailing Address - Country:US
Mailing Address - Phone:770-317-4070
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program