NPI 1003526468

Blake Henry Miles, FNP

Practitioner Family Nurse Practitioner Kaysville, UT

Practice location

Address: 977 S Via La Costa Way, Kaysville, UT 84037-2839
Phone: (801) 589-6988

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 5808074-4405 (UT)

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Registry record

NPI: 1003526468
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2022
Record last updated: 28 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.