Provider Demographics
NPI:1972882157
Name:MILLIGAN, FALANDIA (ANP)
Entity Type:Individual
Prefix:
First Name:FALANDIA
Middle Name:
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 SUPERIOR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1444
Mailing Address - Country:US
Mailing Address - Phone:216-851-2600
Mailing Address - Fax:216-851-4125
Practice Address - Street 1:12100 SUPERIOR AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1444
Practice Address - Country:US
Practice Address - Phone:216-851-2600
Practice Address - Fax:216-851-4125
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.12404-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0055370Medicaid
OH0055370Medicaid
H247000Medicare PIN