Provider Demographics
NPI:1336963172
Name:MILNER, HOLLY MIKAYLA (BSN, RN)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:MIKAYLA
Last Name:MILNER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:HOLLY
Other - Middle Name:MIKAYLA
Other - Last Name:ARANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1840 VIA FONTANA
Mailing Address - Street 2:
Mailing Address - City:RIO RICO
Mailing Address - State:AZ
Mailing Address - Zip Code:85648-6817
Mailing Address - Country:US
Mailing Address - Phone:520-595-6351
Mailing Address - Fax:
Practice Address - Street 1:310 W PLUM ST
Practice Address - Street 2:
Practice Address - City:NOGALES
Practice Address - State:AZ
Practice Address - Zip Code:85621-2613
Practice Address - Country:US
Practice Address - Phone:520-287-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ244587163WM0102X, 163WN0800X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience