Provider Demographics
NPI:1023539897
Name:GILES, MONTREISE NY'COLE (BS)
Entity Type:Individual
Prefix:
First Name:MONTREISE
Middle Name:NY'COLE
Last Name:GILES
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4060 SPRINGER WAY APT 1226
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8337
Mailing Address - Country:US
Mailing Address - Phone:248-895-0834
Mailing Address - Fax:
Practice Address - Street 1:4060 SPRINGER WAY APT 1226
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8337
Practice Address - Country:US
Practice Address - Phone:248-895-0834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-03
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other