Provider Demographics
NPI:1144464702
Name:ROBBINS, MILAGROS Q (LICENSED PRACTICAL N)
Entity type:Individual
Prefix:MRS
First Name:MILAGROS
Middle Name:Q
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:WI
Mailing Address - Zip Code:53803-9410
Mailing Address - Country:US
Mailing Address - Phone:608-759-2942
Mailing Address - Fax:
Practice Address - Street 1:243 2ND AVE
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:WI
Practice Address - Zip Code:53803-9410
Practice Address - Country:US
Practice Address - Phone:608-759-2942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI307953-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse