Provider Demographics
NPI:1922860642
Name:MILGATE, KAREN (DEM, CPM)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:MILGATE
Suffix:
Gender:F
Credentials:DEM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 LASTNER LN
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1615
Mailing Address - Country:US
Mailing Address - Phone:301-642-2045
Mailing Address - Fax:
Practice Address - Street 1:106 LASTNER LN
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1615
Practice Address - Country:US
Practice Address - Phone:301-642-2045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDEM00042176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife