Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNETTE A MIYAMOTO, LPN
ActiveANNETTE A MIYAMOTO, LPN is a Licensed Practical Nurse healthcare provider located in T OR C, New Mexico. NPI 1073078853 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · T OR C, NM
Registration Details
- NPI Number
- 1073078853
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2019 (7.5270041082925 yrs)
- Last Updated
- Feb 5, 2019
- License
-
L15727 (NM)
Practice Information
- Address
-
180 N DATE STT OR C, NM, 879012810Browse NM providers · Browse ZIP 87901
- Phone
- 5758948372
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.