Whalio Doctors

NPI 1073078853

Annette a Miyamoto, LPN

Practitioner Licensed Practical Nurse T Or C, NM

Practice location

Address
180 N Date St, T Or C, NM 87901-2810
Phone
(575) 894-8372
Mailing address
1321 E Poplar St, Deming, NM 88030-4807

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence L15727 (NM)

Registry record

NPI
1073078853
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Feb 2019
Record last updated
5 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.