Individual provider · Type 1 NPI
Mia Tyler
Licensed Practical Nurse · Buffalo, NY
NPI number
1508730094
Active
Practice location
2412 Seneca St Ste 8
Buffalo, NY 14210-2662
Fax (866) 242-7286
Mailing address
227 Thorn Ave
Orchard Park, NY 14127-2600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 269899 (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 1508730094
Mia Tyler's National Provider Identifier is 1508730094, issued on Sep 30, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Buffalo, NY. The record was last updated on Sep 30, 2025.