Individual
MIRANDA ELISE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
608 LIBERTY LN, EDMOND, OK 73034-9432
(405) 657-3436
Mailing address
401 W COVELL RD APT 221, EDMOND, OK 73003-2002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5885
OK
Other
Enumeration date
06/03/2026
Last updated
08/07/2026
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