National Provider Identifier
Clyde Miller Jr. III, LPN
Clyde Miller Jr. III, 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) 230-7824.
Profile Overview
- NPI
- 1679874663
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 08, 2010
- Last Updated
- June 05, 2019
Practice Location
- 260 Nester St
- Rochester, NY 14621-2435
Phone: (585) 230-7824
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1679874663
- Entity Type
- Individual
- Last Name
- Miller Jr.
- First Name
- Clyde
- Name Suffix
- III
- Credential
- LPN
- Mailing Street Address
- 260 Nester St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2435
- Mailing Country
- US
- Mailing Phone
- (585) 230-7824
- Practice Street Address
- 260 Nester St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2435
- Practice Country
- US
- Practice Phone
- (585) 230-7824
- Enumeration Date
- November 08, 2010
- Last Updated
- June 05, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)