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Tatum Kennedy Miller
Licensed Practical Nurse in Bay Shore, New York
NPI 1548025166

Tatum Kennedy Miller is a Licensed Practical Nurse based in Bay Shore, NY. Tatum Kennedy Miller practices in Bay Shore, NY. The NPI Number for Tatum Kennedy Miller is 1548025166 and holds a License No. 348850-01 (New York).

The current practice location address for Tatum Kennedy Miller is 28 19Th Ave, Bay Shore, NY and can be reached out via phone at 631-426-9500.

Location: 28 19Th Ave, Bay Shore, NY, 11706-3137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548025166
Provider Name
Tatum Kennedy Miller
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 19Th Ave, Bay Shore, NY, 11706-3137
Phone Number
631-426-9500
Fax Number
Provider Enumeration Date
02/14/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
28 19Th Ave
City
Bay Shore
State
New York
Zip
11706-3137
Phone Number
631-426-9500
Fax Number
person
Provider Business Mailing Address Details
Address
28 19Th Ave
City
Bay Shore
State
New York
Zip
11706-3137
Phone Number
631-426-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
348850-01 (New York)
Definition
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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