Provider Demographics
NPI:1770193963
Name:MILARD, MENSIE SAINT-LOT (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MENSIE
Middle Name:SAINT-LOT
Last Name:MILARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MENSIE
Other - Middle Name:
Other - Last Name:SAINT-LOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:2831 MAGUIRE RD
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6057
Mailing Address - Country:US
Mailing Address - Phone:407-654-0568
Mailing Address - Fax:
Practice Address - Street 1:2831 MAGUIRE RD
Practice Address - Street 2:
Practice Address - City:WINDERMERE
Practice Address - State:FL
Practice Address - Zip Code:34786-6057
Practice Address - Country:US
Practice Address - Phone:407-654-0568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008266363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner