Individual
MIRANDA REBECCA TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9112 TELFORD CIR, JOHNSTON, IA 50131-2779
(515) 745-2908
Mailing address
9112 TELFORD CIR, JOHNSTON, IA 50131-2779
(515) 745-2908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
H172351
IA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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