Provider Demographics
NPI:1891048377
Name:MILBURN, ELIZABETH ANN (CRNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:MILBURN
Suffix:
Gender:F
Credentials:CRNP, PMHNP-BC
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1528 WALNUT ST STE 1414
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3610
Mailing Address - Country:US
Mailing Address - Phone:267-358-6010
Mailing Address - Fax:267-358-6010
Practice Address - Street 1:1528 WALNUT ST STE 1414
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3610
Practice Address - Country:US
Practice Address - Phone:267-358-6010
Practice Address - Fax:267-358-6010
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-20
Last Update Date:2024-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP012390363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health