National Provider Identifier

Trudy Ann Miller, LPN

Trudy Ann Miller, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Bloomfield, NY and a listed phone number of (585) 657-4881.

NPI 1487786117Bloomfield, NYLicensed Practical Nurse

Profile Overview

NPI
1487786117
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 09, 2007
Last Updated
July 08, 2007

Practice Location

  • 4 South Ave
  • Bloomfield, NY 14469-9200

Phone: (585) 657-4881

Mailing Address

  • 4 South Ave
  • P.O.Box 618
  • Bloomfield, NY 14469-9200

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487786117
Entity Type
Individual
Last Name
Miller
First Name
Trudy
Middle Name
Ann
Credential
LPN
Mailing Street Address
4 South Ave
Mailing Address Line 2
P.O.Box 618
Mailing City
Bloomfield
Mailing State
NY
Mailing ZIP Code
14469-9200
Mailing Country
US
Mailing Phone
(585) 657-4881
Practice Street Address
4 South Ave
Practice City
Bloomfield
Practice State
NY
Practice ZIP Code
14469-9200
Practice Country
US
Practice Phone
(585) 657-4881
Enumeration Date
March 09, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)
Other Identifiers
02225703 (NY)