Provider Demographics
NPI:1922347467
Name:MIELE, VIRGINIA (FNP)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:MIELE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MEADOW ST
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5919
Mailing Address - Country:US
Mailing Address - Phone:914-316-0254
Mailing Address - Fax:914-493-2419
Practice Address - Street 1:95 WOODS RD
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1557
Practice Address - Country:US
Practice Address - Phone:914-493-1990
Practice Address - Fax:914-493-1983
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33337432363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily