Individual
MIRANDA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2004 HAYES ST STE 655, NASHVILLE, TN 37203-2656
(615) 866-9040
(615) 750-5756
Mailing address
3320 PERIMETER HILL DR, NASHVILLE, TN 37211-4123
(615) 866-9040
(615) 750-5756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6693
TN
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q109956
—
TN
Enumeration date
08/01/2023
Last updated
03/02/2026
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