Individual
MIRANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
614 EXETER AVE APT 5, MIDDLESBORO, KY 40965-1429
(606) 670-1776
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3011428
KY
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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