Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miles Med Management Service Corporation

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1225703705

Miles Med Management Service Corporation is a Psychiatric/Mental Health Nurse Practitioner in Saint Louis Park, Minnesota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

5775 Wayzata Blvd Ste 767
Saint Louis Park, MN 55416-1222
Phone: (612) 708-7562
Fax: (507) 738-1963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1225703705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Miles — Nurse Practitioner · (612) 708-7562
Other names Miles Med Management; Miles Med Management
NPI enumeratedAugust 16, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 14, 2021
Mailing address4301 Elliot Ave, Minneapolis, MN 55407-3156

Other providers in Saint Louis Park