Individual
SANDRA R MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, RN, BSN
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
713 W VIRGINIA AVE, DUNBAR, WV 25064-3219
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
50874
WV
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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