National Provider Identifier

Tracie Miller, LPN

Tracie Miller, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 506-6290.

NPI 1538540158Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1538540158
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 10, 2015
Last Updated
June 10, 2015

Practice Location

  • 12 Oakmount Dr
  • Rochester, NY 14617-1631

Phone: (585) 506-6290

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1538540158
Entity Type
Individual
Last Name
Miller
First Name
Tracie
Credential
LPN
Mailing Street Address
12 Oakmount Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-1631
Mailing Country
US
Mailing Phone
(585) 506-6290
Practice Street Address
12 Oakmount Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14617-1631
Practice Country
US
Practice Phone
(585) 506-6290
Enumeration Date
June 10, 2015
Last Updated
June 10, 2015
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)