Latasha Miller, is a
Licensed Practical Nurse based in East Saint Louis, Illinois. Latasha Miller is licensed to practice in Illinois (license number 043104151) and her current practice location is
625 N 81st St, East Saint Louis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 434-0461.
NPI number for Latasha Miller is 1336082254 and her current mailing address is 625 N 81st St, East Saint Louis, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336082254.
Provider's Profile
| Full Name | Latasha Miller |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
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| Location | 625 N 81st St, East Saint Louis, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336082254
- Provider Enumeration Date: 04/14/2026
- Last Update Date: 04/14/2026
Medical Identifiers
Medical identifiers for Latasha Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1336082254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 043104151 (Illinois) | 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. Latasha Miller 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 |
Latasha Miller, 625 N 81st St, East Saint Louis, IL 62203-1824 Ph: (618) 434-0461 | Latasha Miller, 625 N 81st St, East Saint Louis, IL 62203-1824 Ph: (618) 434-0461 |
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