Individual
ELIZABETH MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
802 BEL AIR RD STE 102, BEL AIR, MD 21014-4212
(866) 697-0674
Mailing address
802 BEL AIR RD STE 102, BEL AIR, MD 21014-4212
(866) 697-0674
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R200941
MD
363LF0000X
Family Nurse Practitioner
Primary
R200941
MD
Other
Enumeration date
08/06/2020
Last updated
02/06/2021
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