Lisa Ann Miles CNM

NPI 1093741886 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1093741886
Gender Female
Enumeration Date 06/23/2006
Last Updated 07/10/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2900 THOMAS AVE S
APT 1511
MINNEAPOLIS MN, 55416-4477, US
Phone (612) 708-7562
Fax (651) 379-3111
Business Location
2900 THOMAS AVE S
APT 1511
MINNEAPOLIS MN, 55416-4477, US
Phone (612) 708-7562
Fax (651) 379-3111
Toxanomy
Taxonomy Code 363LP0808X
License State Minnesota
License Number R125294-1
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According to our database, Lisa Ann Miles CNM NPI is 1093741886, taxonomy code is 363LP0808X and license number is R125294-1, license state is located at Minnesota. Lisa Ann Miles CNM physically located at 2900 Thomas Ave S, Minneapolis MN, 55416-4477. NPI Number Lisa Ann Miles CNM has the Individual type.

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1093741886 NPI number is provided on an as is basis without warranty of any kind. 1093741886 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Ann Miles CNM are for informational purposes only.