Provider Demographics
NPI:1013242809
Name:MILLIGEN, NANCY G (RN, LAC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:G
Last Name:MILLIGEN
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 COMMON ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3565
Mailing Address - Country:US
Mailing Address - Phone:830-608-1403
Mailing Address - Fax:830-608-1400
Practice Address - Street 1:1324 COMMON ST
Practice Address - Street 2:SUITE 306
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3565
Practice Address - Country:US
Practice Address - Phone:830-608-1403
Practice Address - Fax:830-608-1400
Is Sole Proprietor?:No
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX01117171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX270219010OtherBUSINESS FEDERAL ID