Individual provider · Type 1 NPI

Tina Marie Miritello, L.P.N.

Licensed Practical Nurse · Poughquag, NY

NPI number 1962777243 Active

Practice location

49 Mayfair Road
Poughquag, NY 12570

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X309198 (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 1962777243

Tina Marie Miritello, L.P.N.'s National Provider Identifier is 1962777243, issued on Mar 20, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Poughquag, NY. The record was last updated on Mar 20, 2012.