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Individual
MIRANDA NECHOL SIMS
Active
Individual
MIRANDA NECHOL SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344922501
—
TX
05
—
344922502
—
TX
01
—
75-2616977-028
TRICARE
TX
01
—
778520
MEDICARE
TX
01
—
8161NP
BCBS
TX
01
—
P01464123
RAIL ROAD MEDICARE
TX
01
—
P02207515
MEDICARE RAIL ROAD
TX
Enumeration date
03/20/2015
Last updated
05/13/2019
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