Blake Henry Miles, FNP | |
977 S Via La Costa Way, Kaysville, UT 84037-2839 | |
(801) 589-6988 | |
Not Available |
Full Name | Blake Henry Miles |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 977 S Via La Costa Way, Kaysville, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003526468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 5808074-4405 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Blake Henry Miles, FNP 977 S Via La Costa Way, Kaysville, UT 84037-2839 Ph: (801) 589-6988 | Blake Henry Miles, FNP 977 S Via La Costa Way, Kaysville, UT 84037-2839 Ph: (801) 589-6988 |
Natalie E Royster-jensen, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N Kays Dr Ste 200, Kaysville, UT 84037 Phone: 385-382-1555 | |
Nicole Stapley, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151 | |
Cheryl Ann Wentworth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 498 N 900 W, Kaysville, UT 84037 Phone: 385-382-1555 | |
Dr. Annelyse Nita Caffrey, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 N Main St Ste 103, Kaysville, UT 84037 Phone: 801-876-3749 | |
Baxter Stewart, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1072 N Kingswood Rd, Kaysville, UT 84037 Phone: 385-245-3493 | |
Jake Scott Parkinson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 |