Shantel Miles, FNP | |
1212n Saint Francis Dr, Dexter, MO 63841-2769 | |
(573) 624-3600 | |
Not Available |
Full Name | Shantel Miles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1212n Saint Francis Dr, Dexter, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174261044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2022011643 (Missouri) | Primary |
Entity Name | Saint Francis Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304489 PECOS PAC ID: 9931007929 Enrollment ID: O20040107000140 |
Entity Name | Big Springs Medical Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225045321 PECOS PAC ID: 6709871007 Enrollment ID: O20040416000695 |
Mailing Address | Practice Location Address |
---|---|
Shantel Miles, FNP 197 Timara Ln, Harviell, MO 63945-8209 Ph: (573) 718-2904 | Shantel Miles, FNP 1212n Saint Francis Dr, Dexter, MO 63841-2769 Ph: (573) 624-3600 |
Kerri Lynch, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 | |
Mr. Bradford Joseph Davis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841 Phone: 573-891-1250 Fax: 573-891-1320 | |
Ellen Vaughan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 N. One Mile Road, Dexter, MO 63841 Phone: 573-624-3600 | |
Miss Ashley Marie Gantner, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 | |
Kristin Suzanne Wheeler Guethle, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-421-3134 | |
Mrs. Laurie Muriel Jibben, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-614-1966 |