Individual
SHANTEL MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1212N SAINT FRANCIS DR, DEXTER, MO 63841-2769
(573) 624-3600
Mailing address
197 TIMARA LN, HARVIELL, MO 63945-8209
(573) 718-2904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022011643
MO
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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