Individual
MIRANDA PONCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
1305 PLAZA COURT, PLATTE CITY, MO 64079
(816) 858-2167
Mailing address
1305 PLAZA COURT, PLATTE CITY, MO 64079
(816) 858-2167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018004903
MO
363L00000X
Nurse Practitioner
Primary
2025040826
MO
Other
Enumeration date
08/27/2025
Last updated
09/18/2025
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