Organization · Type 2 NPI
Angel Miracle Care
Licensed Practical Nurse · Yaphank, NY
NPI number
1831943794
Active
Practice location
621 Vanderbilt Loop
Yaphank, NY 11980-2051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | None listed |
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 1831943794
Angel Miracle Care's National Provider Identifier is 1831943794, issued on Apr 16, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Yaphank, NY. The record was last updated on Sep 11, 2025.