Stacey Marie Milton
Individual provider Active NPI Homemaker · Mandan, ND
NPI 1124892724 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1124892724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 107 2ND Ave NE
Mandan, ND 58554-3313 - Phone
- (701) 204-3263
- NPI assigned
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
107 2ND Ave NE
Mandan, ND 58554-3313
Mailing address
107 2ND Ave NE
Mandan, ND 58554-3313
Phone (701) 204-3263
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.