Annette A Miyamoto, LPN - Licensed Practical Nurse in T Or C, NM

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.

Contact Information

Annette A Miyamoto, LPN
180 N Date St,
T Or C, NM 87901-2810
(575) 894-8372
Not Available



Provider's Profile

Full NameAnnette A Miyamoto
GenderFemale
SpecialityLicensed Practical Nurse
Location180 N Date St, T Or C, New Mexico
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1073078853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed 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 AddressPractice 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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Licensed Practical Nurse Nurses in T Or C, NM


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