SHANNON RAQUEL MILES FNP NPI 1881256378

NPI Information

  • NPI: 1881256378
  • Provider Name: SHANNON RAQUEL MILES, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 287 E HUNT HWY STE 105
    SAN TAN VALLEY, AZ
    ZIP 85143
  • Phone: (480) 677-8282

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NPI Details

Shannon Raquel Miles, FNP is a family nurse practitioner in San Tan Valley, AZ. Shannon Raquel Miles, FNP NPI is 1881256378. 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:

287 E HUNT HWY STE 105
SAN TAN VALLEY, AZ
ZIP 85143-096
Phone: (480) 677-8282

The NPI 1881256378 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 7/3/2019 and was last updated on 12/21/2020.

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
1313M00000XNursing Facility/Intermediate Care Facility165853ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health235897ARIZONANo
3363LF0000XNurse PractitionerFamily235897ARIZONAYes

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: 11/21/2025

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