Individual
MRS. MIRANDA WISNIOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
310 25TH AVE N, STE. 204, NASHVILLE, TN 37203-1515
(615) 329-0195
Mailing address
310 25TH AVE N, STE. 204, NASHVILLE, TN 37203-1515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168998
TN
363L00000X
Nurse Practitioner
20577
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
20577
TN
Other
Enumeration date
03/09/2011
Last updated
03/02/2026
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