Individual provider · Type 1 NPI

Kelley A. Mizro

Licensed Practical Nurse · Auburn, NY

NPI number 1053604223 Active

Practice location

236 Woodlawn Ave
Auburn, NY 13021-3749

Call (315) 252-3796 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X277673-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1053604223

Kelley A. Mizro's National Provider Identifier is 1053604223, issued on May 22, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Auburn, NY. The record was last updated on May 22, 2011.