SHIRLEY A MILLER LPN
NPI 1417221094
Licensed Practical Nurse in Syracuse, NY

Q: What is Shirley Miller's NPI number?

The NPI number for Shirley Miller is 1417221094. It was assigned to this individual provider in the NPPES registry on February 29, 2012.

Q: What is Shirley Miller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Miller was last updated on February 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 29, 2012

2105 W GENESEE ST, SYRACUSE, NY 13219(315) 468-3239(315) 468-2917 Get Directions Write a Review

NPPES record last updated: February 29, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Shirley A Miller Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY A MILLER LPN (NPI 1417221094) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (112436) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1417221094

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameSHIRLEY A MILLERCredential: LPN

Location Address2105 W GENESEE STSyracuse, NY 13219-1698

Mailing Address505 Yorkshire BlvdSyracuse, NY 13219-1034 · (315) 487-3523

Phone(315) 468-3239

Fax(315) 468-2917

Sole ProprietorNo

Enumeration DateFebruary 29, 2012

✔ NPI 1417221094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 112436

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2105 W GENESEE ST, Syracuse, NY 13219

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Other Identifiers 1

Other112436NY · Lpn License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RANDALL STETSON LCSW

Social Worker (Clinical)

2105 W GENESEE ST, STE 209
SYRACUSE, NY 13219

Onondaga County (315) 395-2893

ANGELA D BOOKER LPN

Licensed Practical Nurse