Individual
MIRANDA ROSE MARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2101 NE 139TH ST STE 450, VANCOUVER, WA 98686-2325
(360) 487-4848
Mailing address
1820 SE CUTTER LN, VANCOUVER, WA 98661-8086
(360) 749-2661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60648751
WA
363L00000X
Nurse Practitioner
Primary
AP61519437
WA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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