Individual
MIRANDINE ALCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 N CORTEZ ST STE 203, PRESCOTT, AZ 86301-3023
(928) 277-4614
Mailing address
122 N CORTEZ ST STE 203, PRESCOTT, AZ 86301-3023
(928) 277-4614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP8918
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8918
AZ
Other
Enumeration date
05/11/2015
Last updated
11/04/2024
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