Individual
MIRANDA A BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 S SHORE DR., UNIT 10, MIRAMAR BEACH, FL 32550
(850) 541-3908
(833) 228-6377
Mailing address
126 S SHORE DR., UNIT 10, MIRAMAR BEACH, FL 32550
(850) 541-3908
(833) 228-6377
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5224501
FL
Other
Enumeration date
10/20/2021
Last updated
09/16/2022
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