IndividualActive
Blake Miles, FNP
NPI 1003526468 · Family Nurse Practitioner · Kaysville, UT
Provider details
- NPI number
- 1003526468
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5808074-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
977 S Via La Costa Way
Kaysville, UT 84037-2839
Phone: (801) 589-6988
Approximate (ZIP-level) locationGet directions
Mailing address
977 S Via La Costa Way
Kaysville, UT 84037-2839
Registry dates
- Enumerated
- 2022-11-28
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.