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Individual

ELIZABETH ANN MILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN FNP

Contact information

Practice address
180 JORDAN LN, LONGVILLE LAKES CLINIC, LONGVILLE, MN 56655
(218) 363-3300
(218) 363-2233
Mailing address
180 JORDAN LN, LONGVILLE, MN 56655
(218) 363-3300
(218) 363-2233

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0992752
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
443000000
MN
Enumeration date
12/05/2005
Last updated
04/16/2010
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