Milburn, Phyllis A

Milburn, Phyllis A is an individual health care provider with primary practice located at 5743 Preston Hwy , Louisville KY 40219-1305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Milburn, Phyllis A can be contacted via phone (502) 444-6008.

Contact Information

Primary practice address
5743 Preston Hwy Louisville KY 40219-1305
Phone: (502) 444-6008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 00220316 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5019969 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3011435 Kentucky

Profile Details

NPI number 1164776563
LBN Legal business name Milburn, Phyllis A
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated Jun 4th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164776563 NPPES
Kentucky MEDICAID 1790731081

Popular Providers