Provider Demographics
NPI:1548075153
Name:MILLIGAN, COLLEEN FRANCES
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:FRANCES
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 CRESTMONT DR
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-5213
Mailing Address - Country:US
Mailing Address - Phone:712-309-5068
Mailing Address - Fax:
Practice Address - Street 1:7110 F ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68117-1014
Practice Address - Country:US
Practice Address - Phone:531-365-8663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant