Individual
MIRANDA LYNNE CHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3611 WINDY RDG, TUSCALOOSA, AL 35406-3676
(205) 344-9028
(205) 344-9031
Mailing address
315 MAIN AVE, NORTHPORT, AL 35476-5057
(205) 344-9028
(205) 344-9031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-126137
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-126137
ALABAMA BOARD OF NURSING
AL
01
—
2013018826
AMERICAN NURSES CREDENTIALING CENTER
AL
Enumeration date
12/31/2014
Last updated
01/02/2015
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