Provider Demographics
NPI:1578694154
Name:MILSTEAD, MARGUERITE SABRINA
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:SABRINA
Last Name:MILSTEAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 VIRGINIA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PHILO
Mailing Address - State:OH
Mailing Address - Zip Code:43771
Mailing Address - Country:US
Mailing Address - Phone:740-674-6992
Mailing Address - Fax:
Practice Address - Street 1:900 VIRGINIA RIDGE RD
Practice Address - Street 2:
Practice Address - City:PHILO
Practice Address - State:OH
Practice Address - Zip Code:43771-9766
Practice Address - Country:US
Practice Address - Phone:740-674-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant