MILENA T MASK F.N.P.
NPI 1669922654
Nurse Practitioner - Family in Kennesaw, GA

Q: What is Milena Mask's NPI number?

The NPI number for Milena Mask is 1669922654. It was assigned to this individual provider in the NPPES registry on October 13, 2016.

Q: What is Milena Mask's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Milena Mask was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2016

2782 N COBB PKWY, KENNESAW, GA 30152(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2021, Sep 16, 2020, Jul 15, 2020 and 6 more (9 updates tracked since 2016).

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About Milena T Mask F.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILENA T MASK F.N.P. (NPI 1669922654) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN304192) and active in the NPI registry since October 2016. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669922654

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMILENA T MASKCredential: F.N.P.

Location Address2782 N COBB PKWYKennesaw, GA 30152-3472

Mailing Address2782 N Cobb PkwyKennesaw, GA 30152-3472

Phone(866) 389-2727

Sole ProprietorYes

Enumeration DateOctober 13, 2016

Last NPPES UpdateSeptember 27, 20219 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2021

✔ NPI 1669922654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in GA · RN304192✔ Licensed in IL · 209014505

Also ListedRegistered NurseTaxonomy 163W00000X · License 041368107 (IL)

2782 N COBB PKWY, Kennesaw, GA 30152

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Secondary Practice Locations 3

Location 118660 Graphic DrTinley Park, IL 60477 · Phone (708) 263-2000 · Fax (708) 263-2023

Location 21000 Burr Ridge PkwyBurr Ridge, IL 60527-0849 · Phone (530) 756-5270 · Fax (574) 538-4859

Location 31301 E 47th StChicago, IL 60653-4507 · Phone (708) 263-2000 · Fax (708) 263-2023

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHAD RICHARD

Pharmacist