Provider Demographics
NPI:1720449135
Name:MILAN-SHENG, ILIANA KAROLINA (RN)
Entity Type:Individual
Prefix:
First Name:ILIANA
Middle Name:KAROLINA
Last Name:MILAN-SHENG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ILIANA
Other - Middle Name:
Other - Last Name:MILAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 MONTE CRESTA AVE
Mailing Address - Street 2:APT 6
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4872
Mailing Address - Country:US
Mailing Address - Phone:925-550-0020
Mailing Address - Fax:
Practice Address - Street 1:109 MONTE CRESTA AVE
Practice Address - Street 2:APT 6
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4872
Practice Address - Country:US
Practice Address - Phone:925-550-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA849255163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse