Individual
LYDIA M MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2310 PATTON RD, HARRISBURG, PA 17112-9154
(717) 724-6500
(717) 724-6510
Mailing address
2310 PATTON RD, HARRISBURG, PA 17112-9154
(717) 724-6500
(717) 724-6510
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP016455
PA
363LF0000X
Family Nurse Practitioner
Primary
SP016455
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103140652
—
PA
Enumeration date
08/16/2016
Last updated
01/27/2021
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