Individual
ANNETTE KING-MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 ROSEMARY LN, DANVILLE, VA 24541-4528
(434) 251-1757
(866) 707-2744
Mailing address
119 HAZELWOOD CT, DANVILLE, VA 24541-4528
(434) 251-1757
(866) 707-2744
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001154980
VA
376G00000X
Nursing Home Administrator
2639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518368802
TRANSPORTATION
VA
05
—
1518368802
—
VA
Enumeration date
09/05/2014
Last updated
10/26/2015
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