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Individual
MICHELLE GONZALEZ MIRANDA
Active
Individual
MICHELLE GONZALEZ MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
867944
NY
163W00000X
Registered Nurse
95188219
CA
363LF0000X
Family Nurse Practitioner
Primary
351493
NY
363LF0000X
Family Nurse Practitioner
95023808
CA
Other
Enumeration date
07/10/2023
Last updated
08/05/2025
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