Individual provider · Type 1 NPI
Latasha Miller
Licensed Practical Nurse · East St. Louis, IL
NPI number
1336082254
Active
Practice location
625 N 81st St
East St. Louis, IL 62203-1824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043104151 (IL) |
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.
About NPI 1336082254
Latasha Miller's National Provider Identifier is 1336082254, issued on Apr 14, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in East St. Louis, IL. The record was last updated on Apr 14, 2026.