Individual provider · Type 1 NPI

Annette A. Miyamoto, LPN

Licensed Practical Nurse · T Or C, NM

NPI number 1073078853 Active

Practice location

180 N Date St
T Or C, NM 87901-2810

Call (575) 894-8372 Map

Mailing address

1321 E Poplar St
Deming, NM 88030-4807

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL15727 (NM)

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.

7 other providers at this address

About NPI 1073078853

Annette A. Miyamoto, LPN's National Provider Identifier is 1073078853, issued on Feb 5, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in T Or C, NM. The record was last updated on Feb 5, 2019.