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NPI Code Detail

MEDICARE: CHRISTINE MARIE MILES APRN

MEDICARE: CHRISTINE MARIE MILES APRN
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
1363LF0000XFamily Nurse PractitionerA004542AR

General Provider Information

NPI Number : 1801268479
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE MILES APRN
Provider Business Mailing Address
First Line : PO BOX 497
Second Line :
City : AUGUSTA
State : AR
Zip : 72006-0497
Country : US
Telephone Number : 870-347-2534
Fax Number :
Provider Business Practice Location Address
First Line : 630 W SOUTH ST
Second Line :
City : BENTON
State : AR
Zip : 72015-4258
Country : US
Telephone Number : 501-860-7150
Fax Number : 501-860-7166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 01/21/2026

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