Individual
ELIZABETH GRACE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
50 GOERING RD, HAWESVILLE, KY 42348-5495
(270) 316-7560
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018970
KY
Other
Enumeration date
03/15/2023
Last updated
03/24/2023
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