Individual
MIRANDA ROZECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
765 KENWILWORTH AVENUE, WASHINGTON, DC 20019
(202) 469-4699
Mailing address
765 KENILWORTH AVE, WASHINGTON, DC 20019-4351
(202) 469-4699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024175524
VA
363LF0000X
Family Nurse Practitioner
AC002179
MD
363LF0000X
Family Nurse Practitioner
Primary
NP500004527
DC
Other
Enumeration date
10/21/2017
Last updated
10/17/2022
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