Carl Miller
Individual provider Active NPI Licensed Practical Nurse · Stillwater, NY
NPI 1194156711 · NPPES record last updated Dec 7, 2013
Key facts
- NPI
- 1194156711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 287378 (NY)
- Practice address
- 4 Oak LN
Stillwater, NY 12170-2210 - Phone
- (518) 796-2096
- NPI assigned
- Dec 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287378 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 287378 | NY | Yes |
Addresses
Primary practice location
4 Oak LN
Stillwater, NY 12170-2210
Mailing address
4 Oak LN
Stillwater, NY 12170-2210
Phone (518) 796-2096
Other providers in Stillwater, NY
- Tracy Lyn Kohls
- Sara Kuiken
- Deanna Longwell Sargent
- Maha Ghorayeb NP in Family Health, PLLC
- Meliora Family Medicine PLLC
- Madison Shea Moskowitz
- Melissa Marie Nastasi
- Luke Nightingale
- Patenaude Chiropractic LLP
- Brady William Patenaude
All providers in Stillwater, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.