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Lisa Ann Miles, CNP
Psychiatric/Mental Health Nurse Practitioner in Minneapolis, Minnesota
NPI 1093741886

Lisa Ann Miles is a Psychiatric/Mental Health Nurse Practitioner based in Minneapolis, MN and is specialized in Psychiatric/Mental Health. Lisa Ann Miles practices in Minneapolis, MN and has the professional credentials of CNP. The NPI Number for Lisa Ann Miles is 1093741886 and holds a License No. R125294-1 (Minnesota).

The current practice location address for Lisa Ann Miles is 2900 Thomas Ave S Ste 100, Minneapolis, MN and can be reached out via phone at 612-979-2276. You can also correspond with Lisa Ann Miles through the mailing address at 4301 ELLIOT AVE, MINNEAPOLIS, MN - 55407-3156 (mailing address contact number: 512-708-7562).

Location: 2900 Thomas Ave S Ste 100, Minneapolis, MN, 55407-3156
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Provider Profile Details
NPI Number
1093741886
Provider Name
Lisa Ann Miles
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
2900 Thomas Ave S Ste 100, Minneapolis, MN, 55407-3156
Phone Number
612-979-2276
Fax Number
Provider Enumeration Date
06/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1093741886 01 MN PATIENT CHOICE
107D0MI 01 MN BCBS
1093741886 01 MN MEDICA
1093741886 01 MN PREFERRED ONE
HP 23925 01 MN HEALTHPARTNERS
1093741886 01 MN PCHP
500008053 05 MN
institution
Provider Business Practice Location Address Details
Address
2900 Thomas Ave S Ste 100
City
State
Zip
55416
Phone Number
612-979-2276
Fax Number
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Provider Business Mailing Address Details
Address
4301 Elliot Ave
City
State
Zip
55407-3156
Phone Number
512-708-7562
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
3654 (Minnesota)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
R125294-1 (Minnesota)
Definition
Definition to come...
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