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Contact Information

ELIZABETH A MILES, RN FNP
180 JORDAN LN
LONGVILLE LAKES CLINIC
LONGVILLE, MN56655
 Phone: 218-363-3300
 Fax: 218-363-2233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH A MILES · (Female)

NPI # 1629052584
Status Active
Credentials RN FNP
Entity Individual
Enumeration date 12/05/2005
Last updated 04/16/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MN License # R0992752
  • MN Medicaid 443000000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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