Individual
MIRANDA KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4113 N 104TH PLZ, OMAHA, NE 68134-3781
(402) 707-7052
Mailing address
4211 S 143RD CIR, OMAHA, NE 68137-4505
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
126741
NE
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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