Provider Demographics
NPI:1871027375
Name:MILNER, ANNETTE CAROL
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:CAROL
Last Name:MILNER
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:W3940 MITCHELL RD TRLR 89
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-8851
Mailing Address - Country:US
Mailing Address - Phone:715-828-7112
Mailing Address - Fax:
Practice Address - Street 1:W3940 MITCHELL RD TRLR 89
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-8851
Practice Address - Country:US
Practice Address - Phone:715-828-7112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI96461163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse