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Shannon Raquel Miles, FNP
Family Nurse Practitioner in San Tan Valley, Arizona
NPI 1881256378

Shannon Raquel Miles is a Family Nurse Practitioner based in Phoenix, AZ and is specialized in Family. Shannon Raquel Miles practices in San Tan Valley, AZ and has the professional credentials of FNP. The NPI Number for Shannon Raquel Miles is 1881256378 and holds a License No. 165853 (Arizona).

The current practice location address for Shannon Raquel Miles is 287 E Hunt Hwy Ste 105, San Tan Valley, AZ and can be reached out via phone at 480-677-8282.

Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ, 85018-3456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881256378
Provider Name
Shannon Raquel Miles
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
287 E Hunt Hwy Ste 105, San Tan Valley, AZ, 85018-3456
Phone Number
480-677-8282
Fax Number
Provider Enumeration Date
07/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
287 E Hunt Hwy Ste 105
City
San Tan Valley
State
Arizona
Zip
85143-5096
Phone Number
480-677-8282
Fax Number
person
Provider Business Mailing Address Details
Address
287 E Hunt Hwy Ste 105
City
San Tan Valley
State
Arizona
Zip
85143-5096
Phone Number
480-677-8282
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
235897 (Arizona)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
235897 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
165853 (Arizona)
Definition
Definition to come...
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