Miller, Melvina Arleen

Miller, Melvina Arleen is an individual health care provider with primary practice located at 47 Edgewater Ln , Port Jervis NY 12771-5153. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Melvina Arleen can be contacted via phone (845) 672-4191.

Contact Information

Primary practice address
47 Edgewater Ln Port Jervis NY 12771-5153
Phone: (845) 672-4191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 246451-1 New York

Profile Details

NPI number 1477053353
LBN Legal business name Miller, Melvina Arleen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2018
Last updated Feb 16th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477053353 NPPES
New York MEDICAID 246451-1

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