Individual provider · Type 1 NPI

Clyde Miller Jr. Iii, LPN

Licensed Practical Nurse · Rochester, NY

NPI number 1679874663 Active

Practice location

260 Nester St
Rochester, NY 14621-2435

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	300694-1 (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.

3 other providers at this address

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About NPI 1679874663

Clyde Miller Jr. Iii, LPN's National Provider Identifier is 1679874663, issued on Nov 8, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester, NY. The record was last updated on Jun 5, 2019.