Lookup NPI Numbers from the NPI Registry
NPI Profile for SHANNON R MILES in SAN TAN VALLEY, AZ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nursing Facility/Intermediate Care Facility |
313M00000X | A3[10] | Other Nursing Facility | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI # | 1881256378 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 07/03/2019 | |
| Last updated | 12/21/2020 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SHANNON R MILES
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