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NPI Code Detail

MEDICARE: CHRISTINA MILES LPN

MEDICARE: CHRISTINA MILES LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseLP038533AZ

General Provider Information

NPI Number : 1104115856
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MILES LPN
Provider Business Mailing Address
First Line : 7500 N DREAMY DRAW DR STE 205
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4669
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7501 E VIRGINIA AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-1522
Country : US
Telephone Number : 480-484-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2011
Last Update Date : 04/04/2011

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Directions to “ CHRISTINA MILES LPN” Practice Location

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