Individual
MICHELLE LYNN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN CCM
Contact information
Practice address
2342 LAKESHORE DR, SAGLE, ID 83860-8705
(406) 855-3667
Mailing address
2342 LAKESHORE DR, SAGLE, ID 83860-8705
(406) 855-3667
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
62875
ID
163WC0400X
Case Management Registered Nurse
Primary
RN60808155
WA
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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