Miles, Kristian D'Ann

Miles, Kristian D'Ann is an sole proprietor health care provider with primary practice located at 12523 Limonite Ave Ste 400 , Eastvale CA 91752-3666. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miles, Kristian D'Ann can be contacted via phone (951) 808-6300.

Contact Information

Primary practice address
12523 Limonite Ave Ste 400 Eastvale CA 91752-3666
Phone: (951) 808-6300
Fax: (951) 817-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 829093 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95023871 California

Profile Details

NPI number 1578815106
LBN Legal business name Miles, Kristian D'Ann
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2012
Last updated Jun 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578815106 NPPES
California MEDICAID 01261511

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