Provider Demographics
NPI:1417133547
Name:MILANO, NICOLAS MICHAEL (RN)
Entity Type:Individual
Prefix:MR
First Name:NICOLAS
Middle Name:MICHAEL
Last Name:MILANO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:MR
Other - First Name:NICOLAS
Other - Middle Name:MICHAEL
Other - Last Name:MILANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:1251 NE 108TH ST APT 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7339
Mailing Address - Country:US
Mailing Address - Phone:786-385-3014
Mailing Address - Fax:
Practice Address - Street 1:1251 NE 108TH ST APT 210
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33161-7339
Practice Address - Country:US
Practice Address - Phone:786-385-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9189406163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse