Miles, Daraka Yakima

Miles, Daraka Yakima is an individual health care provider with primary practice located at 19900 Old Scenic Hwy Ste H, Zachary LA 70791-7368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Miles, Daraka Yakima can be contacted via phone (225) 642-9676.

Contact Information

Primary practice address
19900 Old Scenic Hwy Ste H Zachary LA 70791-7368
Fax: (225) 642-9696
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP06229 Louisiana

Profile Details

NPI number 1619281615
LBN Legal business name Miles, Daraka Yakima
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2010
Last updated Jan 26th, 2020 - about 4 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 1619281615 NPPES
Louisiana MEDICAID 2117751

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