Individual
VANESSA MARIE MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 E 38TH ST, BAYONNE, NJ 07002-4814
(718) 747-4969
Mailing address
48 E 38TH ST, BAYONNE, NJ 07002-4814
(718) 747-4969
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
26NR17452500
NJ
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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