Individual
MRS. MIRANDA HORIETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-1620
Mailing address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-1620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431345
NY
Other
Enumeration date
05/27/2011
Last updated
09/17/2018
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