Individual
LISA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 MADDEX DR, SHEPHERDSTOWN, WV 25443-4305
(304) 876-9422
Mailing address
300 DAVE COWENS DR STE 600, NEWPORT, KY 41071-4543
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
125023
WV
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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