Individual
DEVIN EDWARD MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-4100
(208) 814-4908
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53729
ID
Other
Enumeration date
08/01/2023
Last updated
01/18/2024
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