Individual
MRS. COLLEEN KRISTINA MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4961 ROBERTS RD, HILLIARD, OH 43026-8129
(937) 475-8775
Mailing address
85 VIRGINIA AVE, WASHINGTON TOWNSHIP, OH 45458-2246
(937) 475-8775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 204202
OH
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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