Individual
MICHELLE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN-CNP, FNP-C
Contact information
Practice address
4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7446
(208) 938-3663
Mailing address
PO BOX 191141, BOISE, ID 83719-1141
(208) 938-3663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77243
ID
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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