BLONDENA UNLIA MILEY FNP NPI 1013580687

NPI Information

NPI: 1013580687
Provider Name: BLONDENA UNLIA MILEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1741 MESQUITE AVE STE 200A
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-0890
Get Directions

Blondena Unlia Miley, FNP is a family nurse practitioner in Lake Havasu City, AZ with 3 years of experience. Blondena Unlia Miley, FNP NPI is 1013580687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1741 MESQUITE AVE STE 200A
LAKE HAVASU CITY, AZ
ZIP 86403-689
Phone: (928) 453-0890
Fax: (501) 781-3982

The NPI 1013580687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2021 and was last updated on 11/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	258518	ARIZONA	No
2	363L00000X	Nurse Practitioner		258518	ARIZONA	No
3	363LP2300X	Nurse Practitioner	Primary Care	258518	ARIZONA	No
4	363LF0000X	Nurse Practitioner	Family	258518	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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