Individual
DAISY S MIRIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Mailing address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9103373
FL
363AS0400X
Surgical Physician Assistant
Primary
0010-07687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103373
STATE LICENSE
FL
Enumeration date
12/04/2006
Last updated
12/01/2022
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