Organization
CEDAR SAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA FRANCK PMHNP (PMHNP)
(319) 415-4728
Entity
Organization
Contact information
Practice address
143 S MAIN ST, FAYETTE, IA 52142-7701
(319) 415-4728
Mailing address
PO BOX 26, FAIRBANK, IA 50629-0026
(319) 415-4728
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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