Individual
MRS. MIRANDA R HERNLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25 W MAIN ST, AUSTIN, IN 47102-1303
(812) 794-8100
Mailing address
2200 W MAIN ST, RICHMOND, IN 47374-3882
(765) 973-9294
(765) 973-9233
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013171A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300069066
—
IN
Enumeration date
10/17/2022
Last updated
04/28/2026
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