Individual
DIANA R MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2701 CROSS TIMBERS RD STE 224, FLOWER MOUND, TX 75028-2779
(857) 499-0379
Mailing address
2701 CROSS TIMBERS RD STE 224, FLOWER MOUND, TX 75028-2779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024179697
VA
363L00000X
Nurse Practitioner
Primary
1166572
TX
363L00000X
Nurse Practitioner
RN1053402
DC
Other
Enumeration date
07/20/2020
Last updated
07/15/2024
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