Provider Demographics
NPI:1275767998
Name:MILES, JULIANNE (RNFA)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 85520
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85754-5520
Mailing Address - Country:US
Mailing Address - Phone:520-777-4470
Mailing Address - Fax:
Practice Address - Street 1:3110 N LLOYD BUSH DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9071
Practice Address - Country:US
Practice Address - Phone:520-777-4470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-09
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN097017163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant