Provider Demographics
NPI:1053124008
Name:MILLIGAN, ELIZABETH LEANN
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEANN
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 1:1202 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NE
Mailing Address - Zip Code:68787-1035
Mailing Address - Country:US
Mailing Address - Phone:402-369-3353
Mailing Address - Fax:
Practice Address - Street 1:312 N 7TH ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4047
Practice Address - Country:US
Practice Address - Phone:402-371-0332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist