Miles, Shannon Raquel

Miles, Shannon Raquel is an sole proprietor health care provider with primary practice located at 287 E Hunt Hwy Ste 105 , San Tan Valley AZ 85143-5096. She recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Miles, Shannon Raquel can be contacted via phone (480) 677-8282.

Contact Information

Primary practice address
287 E Hunt Hwy Ste 105 San Tan Valley AZ 85143-5096
Phone: (480) 677-8282
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 165853 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 235897 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 235897 Arizona

Profile Details

NPI number 1881256378
LBN Legal business name Miles, Shannon Raquel
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2019
Last updated Dec 21st, 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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