Individual
LISA ANN MILETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1701 SOUTH BLVD E STE 300, ROCHESTER HILLS, MI 48307-6120
(517) 332-1200
(517) 351-7122
Mailing address
2746 PINEVIEW TRL, BRIGHTON, MI 48114-8890
(810) 986-9711
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704160785
MI
367500000X
Certified Registered Nurse Anesthetist
5469
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2749045
—
MI
01
—
41152
NBCRNA
MI
01
—
430F364420
BCBSM
MI
Enumeration date
03/11/2006
Last updated
10/16/2024
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