Individual
FATIMA FRANSHESKA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3901 PELHAM RD, GREENVILLE, SC 29615-5004
(864) 288-3672
Mailing address
3103 WILEY DR, SIMPSONVILLE, SC 29680-6485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23334
SC
Other
Enumeration date
11/03/2019
Last updated
07/27/2020
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