Provider Demographics
NPI:1366595696
Name:MILANOVICH, SHELLEY NEFF (CRNP- ACUTE CARE)
Entity type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:NEFF
Last Name:MILANOVICH
Suffix:
Gender:F
Credentials:CRNP- ACUTE CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1549
Mailing Address - Country:US
Mailing Address - Phone:724-284-4060
Mailing Address - Fax:724-284-4144
Practice Address - Street 1:389 NEW CASTLE RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1743
Practice Address - Country:US
Practice Address - Phone:724-282-2216
Practice Address - Fax:724-282-1861
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009908363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care