Individual
KRISTIN L MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Mailing address
7500 MERCY RD, OMAHA, NE 68124-2319
(402) 398-5880
(402) 398-6716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110548
NE
363L00000X
Nurse Practitioner
A100363
IA
363LF0000X
Family Nurse Practitioner
110548
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098684463
MEDICARE PTAN
NE
01
—
41453080
MEDICARE PTAN
IA
Enumeration date
10/11/2006
Last updated
12/11/2017
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