Individual provider · Type 1 NPI

Shannon Raquel Miles, FNP

Psychiatric/Mental Health Nurse Practitioner · San Tan Valley, AZ

NPI number 1881256378 Active

Practice location

287 E Hunt Hwy Ste 105
San Tan Valley, AZ 85143-5096

Mailing address

4545 N 36th St Ste 126
Phoenix, AZ 85018-3456

Other practice locations

  • 12341 W Corrine Dr, El Mirage, AZ 85335-5224 · (623) 329-0551

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X235897 (AZ)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X235897 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1881256378

Shannon Raquel Miles, FNP's National Provider Identifier is 1881256378, issued on Jul 3, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Tan Valley, AZ. The record was last updated on Oct 17, 2026.