National Provider Identifier

Tyler J Miles

Tyler J Miles is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (786) 679-0784.

NPI 1922879279Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1922879279
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 15, 2024
Last Updated
January 15, 2024

Practice Location

  • 62 Gillette St
  • Rochester, NY 14619-2225

Phone: (786) 679-0784

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1922879279
Entity Type
Individual
Last Name
Miles
First Name
Tyler
Middle Name
J
Mailing Street Address
62 Gillette St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14619-2225
Mailing Country
US
Mailing Phone
(786) 679-0784
Practice Street Address
62 Gillette St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14619-2225
Practice Country
US
Practice Phone
(786) 679-0784
Enumeration Date
January 15, 2024
Last Updated
January 15, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
January 14, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)