Individual
MIRANDA MICUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
535 WESTFIELD RD STE 200, CHARLOTTESVILLE, VA 22901-1870
(434) 973-4040
Mailing address
535 WESTFIELD RD STE 200, CHARLOTTESVILLE, VA 22901-1870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001269663
VA
363LF0000X
Family Nurse Practitioner
Primary
0024184617
VA
Other
Enumeration date
07/06/2022
Last updated
05/27/2024
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