Individual
MIRANDA LEIGH PELZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2700 E 29TH ST STE 240, BRYAN, TX 77802-2586
(979) 776-0750
Mailing address
2800 S TEXAS AVE STE 102, BRYAN, TX 77802-5361
(936) 266-3513
(713) 852-2332
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1088064
TX
363LA2100X
Acute Care Nurse Practitioner
2016038173
MO
363LA2100X
Acute Care Nurse Practitioner
APRN11002524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088064
TEXAS APRN
TX
05
—
1639607070
—
TX
Enumeration date
05/30/2017
Last updated
08/30/2022
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