Provider Demographics
NPI:1447835632
Name:MILROY, RENEE ANN (CPNP-AC)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:ANN
Last Name:MILROY
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:ANN
Other - Last Name:DUCATTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPNP-AC
Mailing Address - Street 1:2103 ABBY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4307
Mailing Address - Country:US
Mailing Address - Phone:919-352-8102
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014199363LP0222X
NC287205363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care