Individual provider · Type 1 NPI

Alisa Ann Miles, INTERN

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1194063610 Active

Practice location

11740 E 21st St
Tulsa, OK 74129-1820

Call (918) 437-9495 Map

Fax (918) 560-1399

Mailing address

2109 S Highway 69
Wagoner, OK 74467-9310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194063610

Alisa Ann Miles, INTERN's National Provider Identifier is 1194063610, issued on Jan 17, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Mar 12, 2018.