ELIZABETH ANN MILES RN FNP
NPI 1629052584
Nurse Practitioner in Longville, MN

Active since December 05, 2005
180 JORDAN LN, LONGVILLE LAKES CLINIC, LONGVILLE, MN 56655(218) 363-3300(218) 363-2233 Get Directions Write a Review

NPPES record last updated: April 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Ann Miles Rn Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH ANN MILES RN FNP (NPI 1629052584) is an individual nurse practitioner in Longville, Minnesota, licensed in Minnesota (R0992752) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1629052584
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH ANN MILESCredential: RN FNP
Location Address180 JORDAN LN, LONGVILLE LAKES CLINICLongville, MN 56655
Mailing Address180 Jordan LnLongville, MN 56655 · (218) 363-3300 · Fax (218) 363-2233
Fax(218) 363-2233
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateApril 16, 2010
NPI 1629052584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · R0992752
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
180 JORDAN LN, Longville, MN 56655

Other Names 1

Former Name (1)Elizabeth Ann Straka

Other Identifiers 3

Medicare ID-Type Unspecified500002637MN
Medicare UPINQ16879
Medicaid443000000MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
180 JORDAN LN, LONGVILLE LAKES CLINIC
LONGVILLE, MN 56655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Miles's NPI number?

The NPI number for Elizabeth Miles is 1629052584. It was assigned to this individual provider in the NPPES registry on December 5, 2005. The provider is also known as Elizabeth Ann Straka.

Where is Elizabeth Miles located?

Elizabeth Miles practices at 180 Jordan Ln Longville Lakes Clinic, Longville, MN 56655. The listed phone number is (218) 363-3300.

What is Elizabeth Miles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Miles was last updated on April 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.