Modern Milk Gilbert

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

MODERN MILK GILBERT

Practice address

3244 E Guadalupe Rd Ste 106
Gilbert, AZ 85234-9605

Phone

(480) 534-8192

NPI assigned

Feb 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Faye Nguyen, NP

Title

Owner

Phone

(480) 534-8192

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1144786591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 E GUADALUPE RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349605",
            "telephone_number": "480-534-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 E GUADALUPE RD STE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852349605",
            "telephone_number": "480-534-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MILK GILBERT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-534-8192",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Modern Pharmacy Solutions
• Modern Sports Medicine LLC
• Ankit Anil Modi, MD
• Maya Modzelewski
• Shelbi Moeller, LMSW

• Women's Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.