Provider Demographics
NPI:1205270774
Name:MILTON, STEPHANIE MICHELE (STNA/MA)
Entity type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:MICHELE
Last Name:MILTON
Suffix:
Gender:F
Credentials:STNA/MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 ELMORE ST
Mailing Address - Street 2:APT 409
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45223-2394
Mailing Address - Country:US
Mailing Address - Phone:513-364-4110
Mailing Address - Fax:
Practice Address - Street 1:1905 ELMORE ST
Practice Address - Street 2:APT 409
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45223-2394
Practice Address - Country:US
Practice Address - Phone:513-364-4110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400715680208376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide