Individual
STEPHANIE AMARAL MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
289 PLEASANT ST, SUITE 501, FALL RIVER, MA 02721-3005
(508) 679-6611
Mailing address
289 PLEASANT ST, SUITE 501, FALL RIVER, MA 02721-3005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
256375
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256375
MA LICENSE
MA
Enumeration date
10/18/2012
Last updated
10/18/2012
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