Individual
MIRANDA WINIFRED RIFENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-BC, CWS
Contact information
Practice address
222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 90245-5648
(818) 318-2530
Mailing address
5818 E LANAI ST, LONG BEACH, CA 90808-3814
(818) 318-2530
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95012259
CA
Other
Enumeration date
09/25/2019
Last updated
01/05/2023
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