Individual
AMANDA RENEE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
10755 KENWORTHY ST, EL PASO, TX 79924-1717
(915) 821-5900
Mailing address
708 COLONIAL BLF, EL PASO, TX 79928-8119
(915) 256-7972
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1119563
TX
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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