Individual provider · Type 1 NPI

Tatum Kennedy Miller

Licensed Practical Nurse · Bay Shore, NY

NPI number 1548025166 Active

Practice location

28 19th Ave
Bay Shore, NY 11706-3137

Call (631) 426-9500 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X348850 (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 1548025166

Tatum Kennedy Miller's National Provider Identifier is 1548025166, issued on Feb 14, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Bay Shore, NY. The record was last updated on Aug 2, 2024.