Individual
MS. KELLEY OLIVIA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP(NURSE PRACTITIONE
Contact information
Practice address
2550 23RD STREET, BUILDING 9, 2ND FLOOR, SAN FRANCISCO, CA 94110
(415) 206-3887
(415) 206-3373
Mailing address
2550 23RD STREET, BUILDING 9, 2ND FLOOR, SAN FRANCISCO, CA 94110
(415) 206-3887
(415) 206-3373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60290894
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
NP-22661
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017920
—
WA
Enumeration date
06/04/2012
Last updated
08/22/2014
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