Provider Demographics
NPI:1679197958
Name:MILLIGAN, SARAH MICHELLE (APN)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MICHELLE
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:MICHELLE
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18033 COUNTY ROAD 500 E
Mailing Address - Street 2:
Mailing Address - City:DAHLGREN
Mailing Address - State:IL
Mailing Address - Zip Code:62828-4294
Mailing Address - Country:US
Mailing Address - Phone:618-648-2668
Mailing Address - Fax:618-648-2970
Practice Address - Street 1:18033 COUNTY ROAD 500 E
Practice Address - Street 2:
Practice Address - City:DAHLGREN
Practice Address - State:IL
Practice Address - Zip Code:62828-4294
Practice Address - Country:US
Practice Address - Phone:618-648-2970
Practice Address - Fax:618-648-2970
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041404072163WG0000X
IL209.021502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice