Annette A Miyamoto, LPN is a
Licensed Practical Nurse based in T Or C, New Mexico. Annette A Miyamoto is licensed to practice in New Mexico (license number L15727) and her current practice location is
180 N Date St, T Or C, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(575) 894-8372.
NPI number for Annette A Miyamoto is 1073078853 and her current mailing address is 1321 E Poplar St, Deming, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073078853.
Provider's Profile
Full Name | Annette A Miyamoto |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 180 N Date St, T Or C, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073078853
- Provider Enumeration Date: 02/05/2019
- Last Update Date: 02/05/2019
Medical Identifiers
Medical identifiers for Annette A Miyamoto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073078853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | L15727 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annette A Miyamoto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Annette A Miyamoto, LPN 1321 E Poplar St, Deming, NM 88030-4807 Ph: (575) 546-5951 | Annette A Miyamoto, LPN 180 N Date St, T Or C, NM 87901-2810 Ph: (575) 894-8372 |
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