Individual
MIRANDA MABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13340 METCALF AVE, OVERLAND PARK, KS 66213-2804
(913) 948-2020
Mailing address
PO BOX 7602, CAROL STREAM, IL 60197-7602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5380642071
KS
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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