Individual
MRS. DONNA MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6192
(215) 829-3000
Mailing address
1214 MANOR RD, HAVERTOWN, PA 19083-3619
(610) 635-8533
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP022997
PA
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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