Provider Demographics
NPI:1962472605
Name:MILNER, RITA (APRN,BC)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:MILNER
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-0399
Mailing Address - Country:US
Mailing Address - Phone:931-924-8000
Mailing Address - Fax:931-924-8001
Practice Address - Street 1:21 FIRST STREET
Practice Address - Street 2:
Practice Address - City:MONTEAGLE
Practice Address - State:TN
Practice Address - Zip Code:37356
Practice Address - Country:US
Practice Address - Phone:931-924-8000
Practice Address - Fax:931-924-8001
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5897363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ010253Medicaid
TN103I502969Medicare PIN
S21342Medicare UPIN