National Provider Identifier

Crystal Joy Miller, LPN

Crystal Joy Miller, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 737-4700.

NPI 1003324997Elmira, NYLicensed Practical Nurse

Profile Overview

NPI
1003324997
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 13, 2018
Last Updated
January 13, 2018

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4700

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1003324997
Entity Type
Individual
Last Name
Miller
First Name
Crystal
Middle Name
Joy
Credential
LPN
Provider Other Last Name
Burgess
Provider Other First Name
Crystal
Provider Other Middle Name
Joy
Provider Other Credential Text
LPN
Provider Other Last Name Type Code
1
Mailing Street Address
100 Washington St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2849
Mailing Country
US
Mailing Phone
(607) 737-4700
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4700
Enumeration Date
January 13, 2018
Last Updated
January 13, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)