Miles, Lisa Ann

Miles, Lisa Ann is an individual health care provider with primary practice located at 2900 Thomas Ave S Ste 100 , Minneapolis MN 55416. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Miles, Lisa Ann can be contacted via phone (612) 979-2276.

Contact Information

Primary practice address
2900 Thomas Ave S Ste 100 Minneapolis MN 55416
Phone: (612) 979-2276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X R125294-1 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3654 Minnesota

Profile Details

NPI number 1093741886
LBN Legal business name Miles, Lisa Ann
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 14th, 2021 - about 5 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 1093741886 NPPES
Minnesota Other 1093741886 PATIENT CHOICE
Minnesota Other 107D0MI PATIENT CHOICE
Minnesota Other 1093741886 PATIENT CHOICE
Minnesota Other 1093741886 PATIENT CHOICE
Minnesota Other HP 23925 PATIENT CHOICE
Minnesota Other 1093741886 PATIENT CHOICE
Minnesota MEDICAID 500008053 PATIENT CHOICE

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