Individual
MIRANDA R ROWSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5800
(541) 706-5800
Mailing address
PO BOX 1000, DEPT 457, MEMPHIS, TN 38148-0001
(901) 758-7888
(901) 266-6445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16836
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03188711
—
MS
05
—
1530812
—
TN
05
—
195236758
—
AR
01
—
6002378
BCBS
TN
01
—
6005189
BCBS
TN
Enumeration date
07/11/2012
Last updated
07/22/2024
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