Leslie Ray-Miller, LPN
Individual provider Active NPI Licensed Practical Nurse · Middleport, OH
NPI 1407175144 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1407175144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN087110 (OH)
- Practice address
- 102 Park St
Middleport, OH 45760-1347 - Phone
- (740) 416-7392
- NPI assigned
- May 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|
| PN087110 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN087110 | OH | Yes |
Addresses
Primary practice location
102 Park St
Middleport, OH 45760-1347
Mailing address
102 Park St
Middleport, OH 45760-1347
Phone (740) 416-7392
Other providers in Middleport, OH
- Meigs County Council on Aging, Inc
- Penny Newland
- Robyn Ann Pape
- Tara Lynn Pennington
- Kaitlin Ramirez
- Jason Anthony Rhoades
- Ann Marie Riffle
- Trish Diane Robie
- Robyn a Pape OD LLC
- Sheila Russell-Imboden
All providers in Middleport, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2010. 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.