Provider Demographics
NPI:1871337196
Name:MILES, EVELYN (CPR/FIRST AIDE)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:MILES
Suffix:
Gender:F
Credentials:CPR/FIRST AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 SAVANNAH ST SE APT 202
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-7515
Mailing Address - Country:US
Mailing Address - Phone:240-733-7120
Mailing Address - Fax:
Practice Address - Street 1:1825 SAVANNAH ST SE APT 202
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7515
Practice Address - Country:US
Practice Address - Phone:240-733-7120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide