Individual
MRS. MIRANDA PAIGE KOSTECKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
3333 BURNET AVE, ML 1013, CINCINNATI, OH 45229-3026
(513) 636-4200
Mailing address
265 PARK LN, SPRINGBORO, OH 45066-1091
(937) 654-2157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0037137
OH
Other
Enumeration date
08/22/2024
Last updated
10/24/2024
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