Individual
NIKKI MARIE MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
6832 BIG BEAVER BLVD., BEAVER FALLS, PA 15010-1803
(724) 843-7010
(724) 846-9938
Mailing address
6832 BIG BEAVER BLVD, BEAVER FALLS, PA 15010-1803
(724) 843-7010
(724) 846-9938
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
SC005929
PA
Other
Enumeration date
04/13/2007
Last updated
11/04/2010
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