Millbourn CNP, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

COA14504NP Issued in OH

Legal business name

MILLBOURN CNP, INC

Practice address

2440 Baton Rouge
Lima, OH 45805-5104

Phone

(419) 331-2273

Fax

(419) 331-2205

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Lorna Millbourn, CNP

Title

President

Phone

(937) 638-9468

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1679974034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17978 SHARP RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659229",
            "telephone_number": "937-638-9468",
            "fax_number": "419-331-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 BATON ROUGE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458055104",
            "telephone_number": "419-331-2273",
            "fax_number": "419-331-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBOURN CNP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "MILLBOURN",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-638-9468",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "COA14504NP",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "COA14504NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Hospitalist Physicians LLP
• Midwest Vein & Laser Center of Lima
• Philip B. Mikesell, D. D. S.
• David C Miklos, CRNA
• Drenessa Fay Miles
• Alexus Miller-Schmenk
• Ann Rea Miller, O.D.
• Bryana Miller, LPC
• Carrie Miller
• Emily Miller, CDCA

• All providers in Lima, OH
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.