Individual
MIRANDA L CEBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2114 N LINCOLN AVE STE A, YORK, NE 68467-1072
(402) 362-5555
(402) 362-7137
Mailing address
2114 N LINCOLN AVE STE A, YORK, NE 68467-1072
(402) 362-5555
(402) 362-7137
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2210
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-04346
LICENSE
KS
Enumeration date
08/13/2015
Last updated
04/29/2024
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