Individual
MIRANDA WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2317
(404) 785-5437
Mailing address
1438 MCLENDON DR, DECATUR, GA 30033-1802
(770) 876-7923
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN248477
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN248477
GA
Other
Enumeration date
01/21/2019
Last updated
03/26/2025
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