Healthcare Provider Details

I. General information

NPI: 1063289825
Provider Name (Legal Business Name): CHELSEY MILES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 WHITE POPLAR CT
MURFREESBORO TN
37130-4391
US

IV. Provider business mailing address

PO BOX 140733
NASHVILLE TN
37214-0733
US

V. Phone/Fax

Practice location:
  • Phone: 615-485-2873
  • Fax:
Mailing address:
  • Phone: 615-485-2873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9614471
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9614471
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: