Individual
MIRANDA ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(205) 737-2942
Mailing address
7973 ELI CIR, TRUSSVILLE, AL 35173-2472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-171028
AL
367500000X
Certified Registered Nurse Anesthetist
0024195612
VA
367500000X
Certified Registered Nurse Anesthetist
11043472
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
31546
SC
Other
Enumeration date
04/14/2025
Last updated
05/03/2026
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