Individual
MIRANDA MARIE BRESHEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8001 SILVA AVE SE, SNOQUALMIE, WA 98065-9656
(425) 301-8515
Mailing address
8001 SILVA AVE SE, SNOQUALMIE, WA 98065-9656
(425) 301-8515
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
60924239
WA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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