Individual
ANDREA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(132) 354-1141
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95048154
CA
363LF0000X
Family Nurse Practitioner
Primary
95004010
CA
Other
Enumeration date
03/20/2016
Last updated
03/28/2017
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