Individual
MS. MICHELE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C,MS
Contact information
Practice address
2001 E QUAIL RUN RD, EMMETT, ID 83617-5059
(208) 365-7131
(208) 365-4464
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ID PA498
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807782300
—
ID
Enumeration date
03/15/2007
Last updated
04/14/2026
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