Provider Demographics
NPI:1629814587
Name:MILETTA, RENEE
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:MILETTA
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 1:8228 MARAMONT DR UNIT B
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-6283
Mailing Address - Country:US
Mailing Address - Phone:330-550-3143
Mailing Address - Fax:
Practice Address - Street 1:8228 MARAMONT DR UNIT B
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6283
Practice Address - Country:US
Practice Address - Phone:330-550-3143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion