Individual
BLONDENA UNLIA MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
309 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9309
(928) 453-1970
(855) 538-3082
Mailing address
309 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9309
(928) 453-1970
(855) 538-3082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
258518
AZ
363LP2300X
Primary Care Nurse Practitioner
258518
AZ
Other
Enumeration date
07/21/2021
Last updated
10/23/2025
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