Individual provider · Type 1 NPI

Mariah Kay Lasley-Miller

School Registered Nurse · Bloomfield, NM

NPI number 1629706254 Active

Practice location

325 N Bergin Ln
Bloomfield, NM 87413-6729

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200XRN-84602 (NM)

School Registered Nurse: Definition to come...

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About NPI 1629706254

Mariah Kay Lasley-Miller's National Provider Identifier is 1629706254, issued on Aug 11, 2022. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Bloomfield, NM. The record was last updated on Aug 11, 2022.